Chin Chon NG Chan

Primary specialty

PharmacistTaxonomy code 183500000X

License

80463 Issued in CA

Practice address

610 W Tefft St
Nipomo, CA 93444-9187

Phone

(805) 929-2740

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  • Pharmacy
  • Nipomo, CA
  • NPI 1750325023
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1063077568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W TEFFT ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W TEFFT ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449187",
            "telephone_number": "805-929-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG CHAN",
        "first_name": "CHIN CHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "80463",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "address_1": "610 W Tefft St",
            "city": "Nipomo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934449187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Rocco Mercardante Jr.
• Jutta H Merraim
• Sara Emily Messer, OTR/L, SCEM, ECHMHTC
• Dane Royal Moore, DC
• Belinda Leah Morabito
• NG Dental Corp
• Nipomo Dental Group of Andrew Young DDS Inc
• Nipomo Optometry Inc
• Nipomo Pharmacy Inc
• Shannon R Olson, DDS

• Pharmacist in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.