Active NPI
Stephanie Kuan Chan, PHARMD
- Ambulatory Care Pharmacist
- Central Point, OR
National Provider Identifier
1457031064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RPH-0019195
- Practice address
- 870 S Front St Ste 200
Central Point, OR 97502-2779 - Phone
- (503) 893-6900
- Fax
- (503) 487-3595
- NPI assigned
- Jul 19, 2023
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH-0019195 | OR | Primary |
Addresses
Primary practice location
870 S Front St Ste 200
Central Point, OR 97502-2779
Mailing address
171 Lowry LN Apt 13
Medford, OR 97501-7962
Phone (503) 860-2148
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 |
|---|---|---|---|
| RPH-0019195 | OR | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1457031064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 LOWRY LN APT 13",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975017962",
"telephone_number": "503-860-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 S FRONT ST STE 200",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022779",
"telephone_number": "503-893-6900",
"fax_number": "503-487-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "STEPHANIE",
"middle_name": "KUAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OR",
"license": "RPH-0019195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.