Active NPI
Raymond Chan
- Pharmacist
- Selma, CA
National Provider Identifier
1124550579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42907
- Practice address
- 2651 Highland Ave
Selma, CA 93662-3392 - Phone
- (559) 448-6180
- Fax
- (866) 415-1552
- NPI assigned
- Apr 3, 2017
- Last updated
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42907 | CA | Primary |
Addresses
Primary practice location
2651 Highland Ave
Selma, CA 93662-3392
Mailing address
2651 Highland Ave
Selma, CA 93662-3392
Phone (559) 448-6180
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42907 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1124550579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 HIGHLAND AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623392",
"telephone_number": "559-448-6180",
"fax_number": "866-415-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 HIGHLAND AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623392",
"telephone_number": "559-448-6180",
"fax_number": "866-415-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.