Benjamin K Chan

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH59971 Issued in WA

Practice address

202 N Division St
Auburn, WA 98001-4939

Phone

(253) 545-2405

NPI assigned

Oct 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kwok C Chan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1235500224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30914 133RD AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923248",
            "telephone_number": "253-880-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-545-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BENJAMIN",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH59971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWOK",
            "last_name": "CHAN",
            "middle_name": "C",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy M Chaffee, DMD
• Ricca Chagolla, RN
• David William Chambers, PT
• Molly Burke Champ-Gibson
• Evieon Champaign
• Yun Hee Chang
• Katelynne Chanthavong, M.A., BCBA, LBA
• Jenika Rayana Muna Charfauros
• Shayla Breanna Chastain
• Elena Chbeir, OTR/L

• Pharmacist in Auburn, WA
• Providers in Auburn, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.