Active NPI
Kellie Chew, PHARM.D.
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1174945752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70364
- Practice address
- 1601 Coleman Ave
Santa Clara, CA 95050-3122 - Phone
- (408) 988-0565
- Fax
- (408) 567-0961
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 70364 | CA | Primary |
Addresses
Primary practice location
1601 Coleman Ave
Santa Clara, CA 95050-3122
Mailing address
1601 Coleman Ave
Santa Clara, CA 95050-3122
Phone (408) 988-0565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70364 | Other | CA | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 70364 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1174945752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 COLEMAN AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950503122",
"telephone_number": "408-988-0565",
"fax_number": "408-567-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 COLEMAN AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950503122",
"telephone_number": "408-988-0565",
"fax_number": "408-567-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEW",
"first_name": "KELLIE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "70364",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.