Active NPI
Eric Chan, PHARMD
- Pharmacist
- Pensacola, FL
National Provider Identifier
1174755482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43868
- Practice address
- Naval Hospital Pensacola
6000 W Highway 98
Pensacola, FL 32512-0001 - Phone
- (850) 505-6640
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43868 | FL | Primary |
| Pharmacist | 183500000X | PU6458 | FL |
Addresses
Primary practice location
Naval Hospital Pensacola
6000 W Highway 98
Pensacola, FL 32512-0001
Mailing address
6735 Jacques Way
Lake Worth, FL 33463-7488
Phone (561) 301-7378
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43868 | FL | MD | Pharmacist |
| PU6458 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1174755482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 JACQUES WAY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334637488",
"telephone_number": "561-301-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL PENSACOLA",
"address_2": "6000 W HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-505-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ERIC",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43868",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU6458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.