Active NPI
Jenny Yu Chen
- Ambulatory Care Pharmacist
- San Rafael, CA
National Provider Identifier
1003652173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 88402
- Practice address
- 100 Smith Ranch Rd Ste 200
San Rafael, CA 94903-1900 - Phone
- (626) 377-8822
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 88402 | CA | Primary |
Addresses
Primary practice location
100 Smith Ranch Rd Ste 200
San Rafael, CA 94903-1900
Mailing address
458 Manka Cir
Santa Rosa, CA 95403-7751
Phone (626) 377-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88402 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1003652173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 MANKA CIR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954037751",
"telephone_number": "626-377-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SMITH RANCH RD STE 200",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031900",
"telephone_number": "626-377-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JENNY",
"middle_name": "YU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "88402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.