Sin Chan
Individual provider Active NPI Pharmacist · Sayreville, NJ
NPI 1023610334 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1023610334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19858-40 (WI)
- Practice address
- 2500 Main St. Extension
Suite 10
Sayreville, NJ 08872 - Phone
- (844) 785-3937
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04133200 | NJ | MD | Pharmacist |
| 067464 | NY | MD | Pharmacist |
| 19858-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RVL Pharmacy | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
2500 Main St
Ste 10
Sayreville, NJ 08872
Phone (844) 785-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04133200 | NJ | |
| Pharmacist | 183500000X | 067464 | NY | |
| Pharmacist | 183500000X | 19858-40 | WI | Yes |
Addresses
Primary practice location
2500 Main St. Extension
Suite 10
Sayreville, NJ 08872
Mailing address
6 Civic Center Dr Apt 3
East Brunswick, NJ 08816-3553
Other providers in Sayreville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.