Active NPI
Vanessa Chan
- Pharmacist
- Chicago, IL
National Provider Identifier
1144043837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.306704
- Practice address
- 25 E Ohio St
Chicago, IL 60611-2707 - Phone
- (312) 340-3730
- NPI assigned
- Nov 1, 2024
- Last updated
- Nov 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.306704 | IL | Primary |
Addresses
Primary practice location
25 E Ohio St
Chicago, IL 60611-2707
Mailing address
25 E Ohio St
Chicago, IL 60611-2707
Phone (312) 340-3730
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 |
|---|---|---|---|
| 051.306704 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | Current | Accepting new patients |
Locations
25 E Ohio St
Chicago, IL 60611
Phone (312) 340-3730
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1144043837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E OHIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112707",
"telephone_number": "312-340-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E OHIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112707",
"telephone_number": "312-340-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.306704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.