Individual provider Active NPI

Jarid Kit Chan, PHARMD STUDENT

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1225960925
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PI127548 Issued in PA
Practice address
901 Walnut St Ste 901
Philadelphia, PA 19107-5224
Phone
(215) 503-9000
NPI assigned
May 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PI127548 PA Primary

Addresses

Primary practice location

901 Walnut St Ste 901
Philadelphia, PA 19107-5224

Mailing address

2719 Keebler CT
Willow Grove, PA 19090-1146
Phone (856) 383-2483

Other identifiers 1

IdentifierTypeStateIssuer
PI127548OtherPAPHARMACY INTERN LICENSE

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

LicenseStateTypeSpecialty
PI127548PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1225960925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 KEEBLER CT",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901146",
            "telephone_number": "856-383-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WALNUT ST STE 901",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075224",
            "telephone_number": "215-503-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JARID",
        "middle_name": "KIT",
        "credential": "PHARMD STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PI127548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY INTERN LICENSE",
            "identifier": "PI127548",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.