Active NPI
Nicole Chen
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1457189714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH86200
- Practice address
- 1680 E 120TH St
Los Angeles, CA 90059-3026 - Phone
- (424) 338-8000
- NPI assigned
- Jul 26, 2024
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT0015344 | CT | |
| Pharmacist | 183500000X | PH240088 | MA | |
| Pharmacist | 183500000X | RPH06251 | RI | |
| Pharmacist | 183500000X | RPH86200 | CA | Primary |
Addresses
Primary practice location
1680 E 120TH St
Los Angeles, CA 90059-3026
Mailing address
437 S Hill St Apt 708
Los Angeles, CA 90013-2758
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 |
|---|---|---|---|
| RPH86200 | CA | MD | Pharmacist |
| PCT0015344 | CT | MD | Pharmacist |
| PH240088 | MA | MD | Pharmacist |
| RPH06251 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1457189714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 S HILL ST APT 708",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593026",
"telephone_number": "424-338-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0015344",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240088",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH06251",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH86200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.