Deactivated NPI 1407632813 Deactivated / Inactive NPI Male Practitioner

Andy Chan

Pharmacy • Flushing, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andy Chan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2023

NPI Deactivation Date June 28, 2026

Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Andy Chan was a registered Pharmacy practicing in Flushing, NY. Throughout an active medical career spanning 3 years, Andy Chan provided care at the practice location at 3915 MAIN ST STE 207 until profile deactivation on 2026-06-28.

Practice Location & Contact Primary Location

Practice Address

3915 Main St Ste 207

Flushing, NY 113545438

Telephone 5165433386

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy in Flushing, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Flushing, NY (71 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

Pharmacy Primary Specialty

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated June 28, 2026

Record deactivated on June 28, 2026

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NPI Profile Active September 07, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2023

Registered at 3915 MAIN ST STE 207, FLUSHING, NY 113545438 (Tel: 5165433386)

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Updated Business Mailing Address September 07, 2023

Registered at 3915 MAIN ST STE 207, FLUSHING, NY 113545438

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Provider Name / Credentials Updated September 07, 2023

Recorded as ANDY CHAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2023

Pharmacy

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Initial NPI Registration & Enumeration September 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1407632813

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 01, 2023

Last Update: September 07, 2023

Deactivation Date: June 28, 2026

Update or Correct Profile

Mailing Address

3915 Main St Ste 207

Flushing, NY 113545438

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.