Address: 50 Bayard St Apt 5e, New York, NY 10013-4912

SHANNON GAJEN PANG (NPI# 1326638636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326638636
Entity Type Individual
Gender Female
Practice Address 50 Bayard St Apt 5e
New York
NY 10013-4912
Practice Telephone 6468087768
Mailing Address 50 Bayard St Apt 5e
New York
NY 10013-4912
Certification Date 2021-01-20
Enumeration Date 2021-01-20
Last Update Date 2021-01-20
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 183500000X Pharmacist 067596 NY Pharmacy Service Providers

Office Location

Street Address 50 BAYARD ST APT 5E
State NY
Zip Code 10013-4912

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1720560717 Julia I Pema Dolma Gutman Social Worker · Clinical 85 Bayard St, Suite 4, New York, NY 10013 2018-09-05
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1174037758 Oculus Medical Eye Care PC Ophthalmology 139 Centre St Ste 618, New York, NY 10013 2017-11-19
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1235648395 William L Jim Occupational Therapist · Hand 139 Centre St Ste 814, New York, NY 10013 2017-09-21
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306437785 Susan Marie Bowen 20 E 9th St Apt 3-O, New York, NY 10003-5944 2021-01-28
1346838224 Simon Yu 130 Baxter St Apt 5, New York, NY 10013-3643 2021-01-06
1437747870 Peter Cohen 434 E 83rd St Apt 4c, New York, NY 10028-6195 2020-12-31
1578150678 Henry Lian 219 Madison St Apt 7, New York, NY 10002-7571 2020-12-23
1306451638 Kendra H Yum 1470 Madison Ave Fl 4, New York, NY 10029-6542 2020-09-14
1992317994 Connie Ka Wing Huang 20 Confucius Plz Apt 11l, New York, NY 10002-6735 2020-08-20
1306468921 Omar Adnan Ahmed Bekhit Elsayed 255 Audubon Ave Apt 2b, New York, NY 10033-7344 2020-05-18
1235750118 Jessie Cheong 400 Broadway Bsmt Pharmacy, New York, NY 10013-3698 2020-05-01
1114547080 Mohd Omair Jamil 530 East 74th Street, 10281, New York, NY 10021 2020-04-21
1184253031 Felicia Kelly Berben 900 Broadway Ste 706a, New York, NY 10003-1210 2020-04-03
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Zip Code 10013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.