Active NPI
Chanel Z Tse
- Pharmacist
- Eureka, CA
National Provider Identifier
1407566979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87174
- Practice address
- 2555 Harris St
Eureka, CA 95503-4805 - Phone
- (707) 269-0114
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- 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 | 87174 | CA | Primary |
Addresses
Primary practice location
2555 Harris St
Eureka, CA 95503-4805
Mailing address
506 De la Fuente St
Monterey Park, CA 91754-2623
Phone (626) 408-4752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87174 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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.
-
- Community/Retail Pharmacy
- Eureka, CA
- NPI 1992015796
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1407566979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 DE LA FUENTE ST",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917542623",
"telephone_number": "626-408-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034805",
"telephone_number": "707-269-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "CHANEL",
"middle_name": "Z",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.