Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407038516 Individual Practitioner Female Practitioner

Lisa M. Chan

Pharmacist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Lisa Chan is a registered healthcare professional specializing in Pharmacist in Brooklyn, NY. Practice services are available at 1720 KINGS HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1720 Kings Hwy

Brooklyn, NY 112291208

Telephone 7189983377
Fax 7183765686
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1942724356

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2848 Specialists

Practicing in Brooklyn, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 042052

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01562454 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1174846174

Doctor of Pharmacy (Pharm.D.)

NPI 1295695849

Doctor of Pharmacy (Pharm.D.)

NPI 1396289641

Doctor of Pharmacy (Pharm.D.)

NPI 1457786840

Registered Pharmacist

Alla Cevikce

Pharmacist

NPI 1659552396
NPI 1770206237

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2007

Registered at 1720 KINGS HWY, BROOKLYN, NY 112291208 (Tel: 7189983377)

📍
Updated Business Mailing Address November 30, 2007

Registered at 1720 KINGS HWY, BROOKLYN, NY 112291208 (Tel: 7189983377)

👤
Provider Name / Credentials Updated November 30, 2007

Recorded as LISA CHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2007

Pharmacist (License #042052 in NY)

🟢
Initial NPI Registration & Enumeration November 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407038516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2007
Last Update: November 30, 2007
Sole Proprietor: Yes

Mailing Address

1720 Kings Hwy

Brooklyn, NY 112291208

Phone: 7189983377

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.