Debora S Chan, PHARMD

Individual provider Active NPI Pharmacotherapy Pharmacist · Tripler AMC, HI

NPI 1174597900 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1174597900
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
1199 (HI)
Practice address
MCHK-Pe Department of Pediatrics
1 Jarrett White Road
Tripler AMC, HI 96859-5000
Phone
(808) 433-7939
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 1199 HI Yes

Addresses

Primary practice location

MCHK-Pe Department of Pediatrics
1 Jarrett White Road
Tripler AMC, HI 96859-5000

Mailing address

84-179 Makau St
Waianae, HI 96792-1825
Phone (808) 433-7939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174597900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84-179 MAKAU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921825",
            "telephone_number": "808-433-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCHK-PE DEPARTMENT OF PEDIATRICS",
            "address_2": "1 JARRETT WHITE ROAD",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DEBORA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "HI",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler AMC, HI

All providers in Tripler AMC, HI · Pharmacotherapy Pharmacist in Hawaii

Sources for this page

Verify at the official NPI Registry.