Individual provider Active NPI

Chona Pizan, PHARMACIST

  • Pharmacist
  • Pasco, WA
National Provider Identifier
1053709741
Registry record updated Jan 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60297744 Issued in WA
Practice address
6626 Chapel Hill Blvd
D302
Pasco, WA 99301-3178
Phone
(206) 696-2278
NPI assigned
Jan 3, 2015
Last updated
Jan 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60297744 WA Primary

Addresses

Primary practice location

6626 Chapel Hill Blvd
D302
Pasco, WA 99301-3178

Mailing address

6626 Chapel Hill Blvd
D302
Pasco, WA 99301-3178
Phone (206) 696-2278

Other identifiers 1

IdentifierTypeStateIssuer
PH60297744OtherWABOARD OF PHARMACY WASHINGTON STATE

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

LicenseStateTypeSpecialty
PH60297744WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420243200000",
    "number": "1053709741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 CHAPEL HILL BLVD",
            "address_2": "D302",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013178",
            "telephone_number": "206-696-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 CHAPEL HILL BLVD",
            "address_2": "D302",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013178",
            "telephone_number": "206-696-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZAN",
        "first_name": "CHONA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60297744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY WASHINGTON STATE",
            "identifier": "PH60297744",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.