Cecilia Chan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

52179 Issued in TX

Practice address

3410 Worth St Ste 355
Dallas, TX 75246-2092

Phone

(214) 370-1603

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1104428549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 MAPLESHADE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522636",
            "telephone_number": "469-556-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 355",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462092",
            "telephone_number": "214-370-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15220 Montfort Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752486401",
            "country_code": "US",
            "telephone_number": "972-233-8764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CECILIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Valerie Chan-Leveno, M.D.
• Beverley Chan, LMT, MMP, MLD-C
• Bobby L Chan, OD
• Calvin Chan, MD
• Catherine Kyungyee Chan
• Chihyo Sophia Chan
• Chrissy Chan, MD
• Christina Snow Chan, M.D.
• Fonda Chan
• Hilda Lyn Chan

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.