Clarissa Chan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0013008 Issued in CT

Practice address

148 Eastern Blvd
400
Glastonbury, CT 06033-4321

Phone

(860) 657-8014

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1447651013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 NESBIT AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EASTERN BLVD",
            "address_2": "400",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334321",
            "telephone_number": "860-657-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CLARISSA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0013008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Y Cha, O.D.
• Meghan Chafee, MSN, APRN, FNP-C
• Douglas Eric Chamberlin, M.D.
• Clifford Chambers Jr., CPT, CET, CCHT
• Randy Louis Champagne, COTA/L
• Courtney Chan, LCSW
• Changepoint, LLC
• Kelly Chapman, M.S. ED., BCBA
• Irina Chernyshkova, MD
• Katherine E Chesanek, LCSW

• Pharmacist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.