Active NPI
Philip Jan, PHARMD
- Pharmacist
- Chesapeake, VA
National Provider Identifier
1407369556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202216056
- Practice address
- 736 Battlefield Blvd N
Chesapeake, VA 23320-4941 - Phone
- (757) 312-6112
- NPI assigned
- Nov 12, 2017
- Last updated
- Mar 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202216056 | VA | Primary |
Addresses
Primary practice location
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Mailing address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216056 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1407369556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 BATTLEFIELD BLVD N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204941",
"telephone_number": "757-312-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 BATTLEFIELD BLVD N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204941",
"telephone_number": "757-312-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAN",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-12",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.