Active NPI
Taylor Nicole Chan
- Pharmacist
- Menlo Park, CA
National Provider Identifier
1295484467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85857
- Practice address
- 250 Sharon Park Drive
Menlo Park, CA 94025 - Phone
- (650) 854-4636
- NPI assigned
- Mar 23, 2022
- 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 | 85857 | CA | Primary |
Addresses
Primary practice location
250 Sharon Park Drive
Menlo Park, CA 94025
Mailing address
941 Lake Front Dr
Sacramento, CA 95831-4323
Phone (916) 849-7710
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1295484467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 LAKE FRONT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958314323",
"telephone_number": "916-849-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SHARON PARK DRIVE",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-854-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.