Active NPI
Grace Chang
- Pharmacist
- Chandler, AZ
National Provider Identifier
1134313513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14522
- Practice address
- 975 E Ocotillo Rd
Chandler, AZ 85249-3013 - Phone
- (314) 744-4109
- NPI assigned
- Aug 29, 2007
- Last updated
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S014522 | AZ | |
| Pharmacist | 183500000X | 58519 | CA | |
| Pharmacist | 183500000X | 14522 | AZ | Primary |
Addresses
Primary practice location
975 E Ocotillo Rd
Chandler, AZ 85249-3013
Mailing address
975 E Ocotillo Rd
Chandler, AZ 85249-3013
Phone (314) 744-4109
Other practice location 1
12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345
Phone (314) 744-4109
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 |
|---|---|---|---|
| 14522 | AZ | MD | Pharmacist |
| S014522 | AZ | MD | Pharmacist |
| 58519 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1134313513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 E OCOTILLO RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493013",
"telephone_number": "314-744-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E OCOTILLO RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493013",
"telephone_number": "314-744-4109"
}
],
"practiceLocations": [
{
"address_1": "12647 Olive Blvd",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631416345",
"country_code": "US",
"telephone_number": "314-744-4109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014522",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58519",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "14522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.