Active NPI
Connie N Ching, PHARM D
- Pharmacist
- Arcadia, CA
National Provider Identifier
1255549556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041623
- Practice address
- 631 W Duarte Rd
Arcadia, CA 91007-7332 - Phone
- (626) 446-3300
- Fax
- (626) 446-3360
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 041623 | CA | Primary |
Addresses
Primary practice location
631 W Duarte Rd
Arcadia, CA 91007-7332
Mailing address
631 W Duarte Rd
Arcadia, CA 91007-7332
Phone (626) 446-3300
Other names 1
- Ms. Connie Fan
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 |
|---|---|---|---|
| 041623 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSM Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255549556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 W DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077332",
"telephone_number": "626-446-3300",
"fax_number": "626-446-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 W DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077332",
"telephone_number": "626-446-3300",
"fax_number": "626-446-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHING",
"first_name": "CONNIE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "041623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "FAN",
"prefix": "MS.",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.