Wayne Chan, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

51696 Issued in CA

Practice address

5760 Cottle Rd
San Jose, CA 95123-3624

Phone

(408) 362-9623

NPI assigned

Oct 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1114320306
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Santa Clara, CA
  • NPI 1982633939
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1326348483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 STALLION WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211782",
            "telephone_number": "408-710-5302",
            "fax_number": "408-855-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 COTTLE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233624",
            "telephone_number": "408-362-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 Rivermark Plz",
            "address_2": "Safeway Pharmacy",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950544155",
            "country_code": "US",
            "telephone_number": "408-855-0985",
            "fax_number": "408-855-0989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takkeung Kenneth Chan, RPH
• Tiffany Chan, DDS
• Tith Chan
• Tracy Chan, N.D., L.AC.
• Wai Si Chan, LMFT
• Wesley K Chan, D.D.S.
• Winnie Chan
• Yen Duyen Ngoc Tran Chan, N.D.
• Bhavanjot Chana, OTD, OTR/L
• Avishek Avineel Chand, RN, BSN

• Pharmacist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.