Jennifer Chan, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202214202 Issued in VA

Practice address

11620 Monument Dr
Fairfax, VA 22030-8706

Phone

(703) 653-1645

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wegmans Food Markets, Inc.

  • Pharmacy
  • Fairfax, VA
  • NPI 1780667980
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Raleigh, NC
  • NPI 1467227678
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1306346341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 FOUNDERS HILL DR UNIT 204",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223105494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 MONUMENT DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308706",
            "telephone_number": "703-653-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Chadwick
• Chae Acupuncture LLC
• Rachel Tsipora Chalom, CF-SLP
• Sarah Ann Chambers Gurson, M.D.
• Andrea Jenese Chambers
• Mabel Ching Yee Chan, M.D.
• Man Fei Chan, O.D.
• Natalie Ghia Chan, M.D.
• Ali Kassamali Chandani, M.D.
• Ericka Frizell Chandler, LPC

• Pharmacist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.