Jimmy Cy Chan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-4373 Issued in HI

Practice address

801 Kaheka St
Honolulu, HI 96814-3725

Phone

(808) 973-6661

NPI assigned

Dec 4, 2018

Last updated

Oct 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1063982916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 KAHEKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143725",
            "telephone_number": "808-973-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Ohua Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968156612",
            "country_code": "US",
            "telephone_number": "808-922-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Makahiki Way",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968262896",
            "country_code": "US",
            "telephone_number": "808-922-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JIMMY",
        "middle_name": "CY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Shei-Ahu Chan, M.D.
• Eugenia Chan, M.D. M.P.H.
• George H. C. Chan, D.M.D.
• Gina Chan
• Jenny Kamjun Chan, M.D.
• John D Chan, MD
• Ka Yung Karen Chan, LCSW
• Kelsi M. L. Chan, MD
• Matthew G. H. Chan, MD
• Nora Mei Yu Chan, O.D.

• Pharmacist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.