Jennifer Chan Feng

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27190 Issued in MA

Practice address

1575 Blue Hill Ave
Mattapan, MA 02126-2122

Phone

(617) 898-1282

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1386361434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PALOMINO LN",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902120",
            "telephone_number": "617-642-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262122",
            "telephone_number": "617-898-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN FENG",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "PH27190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Castellanos
• Carline Cazeau, R.N
• Izel Celik Reed
• Melchior R. Ceme, D.C.
• Center for Community Health, Education & Research, Inc
• Danny Hyunjae Chang, DMD
• Friceline Chelot, RN
• Wendey Cheung, RN
• Danielle Christian
• Rene Theresa Clark

• Community/Retail Pharmacy in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.