Active NPI
Gina Chan, PHARM D
- Pharmacist
- San Francisco, CA
National Provider Identifier
1205111804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51791
- Practice address
- 3201 Divisadero St
San Francisco, CA 94123-2501 - Phone
- (415) 412-4195
- NPI assigned
- Oct 14, 2011
- 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 | 51791 | CA | Primary |
Addresses
Primary practice location
3201 Divisadero St
San Francisco, CA 94123-2501
Mailing address
3201 Divisadero St
San Francisco, CA 94123-2501
Phone (415) 412-4195
Other practice location 1
320 Bay St
San Francisco, CA 94133-1902
Phone (415) 296-0521
Other practice location 2
1175 Columbus Ave
San Francisco, CA 94133-1729
Phone (415) 345-1079
Other names 1
- Gina Pei Kay Chan
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 |
|---|---|---|---|
| 51791 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1205111804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232501",
"telephone_number": "415-412-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232501",
"telephone_number": "415-412-4195"
}
],
"practiceLocations": [
{
"address_1": "320 Bay St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941331902",
"country_code": "US",
"telephone_number": "415-296-0521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1175 Columbus Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941331729",
"country_code": "US",
"telephone_number": "415-345-1079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "GINA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "CHAN",
"middle_name": "PEI KAY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.