Active NPI
Anthony Chan, RPH.
- Pharmacist
- Chicago, IL
National Provider Identifier
1194007633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.290127
- Practice address
- 2340 W Madison St
Chicago, IL 60612-2228 - Phone
- (312) 226-7913
- Fax
- (312) 226-7926
- NPI assigned
- Sep 11, 2011
- Last updated
- Sep 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.290127 | IL | Primary |
Addresses
Primary practice location
2340 W Madison St
Chicago, IL 60612-2228
Mailing address
820 W 36TH St
Unit 5
Chicago, IL 60609-1591
Phone (312) 523-3892
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.290127 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1194007633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W 36TH ST",
"address_2": "UNIT 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606091591",
"telephone_number": "312-523-3892",
"fax_number": "312-226-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 W MADISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122228",
"telephone_number": "312-226-7913",
"fax_number": "312-226-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-11",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290127",
"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 Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.