Active NPI
Kevin Chiang, PHARMD
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1376254375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86807
- Practice address
- 200 N Winchester Blvd
Santa Clara, CA 95050-6501 - Phone
- (408) 247-1894
- NPI assigned
- Dec 9, 2022
- Sex
- Male
- 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 | 86807 | CA | Primary |
Addresses
Primary practice location
200 N Winchester Blvd
Santa Clara, CA 95050-6501
Mailing address
2261 Quail Bluff PL
San Jose, CA 95121-3213
Phone (408) 644-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86807 | Other | CA | STATE LICENSE NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Santa Clara, CA
- NPI 1316953979
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1376254375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 QUAIL BLUFF PL",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951213213",
"telephone_number": "408-644-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WINCHESTER BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506501",
"telephone_number": "408-247-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIANG",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "86807",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.