Active NPI
Gan Chen, PHARMD
- Pharmacist
- Tacoma, WA
National Provider Identifier
1457998213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61460816
- Practice address
- 4315 6TH Ave
Tacoma, WA 98406-4014 - Phone
- (206) 903-8392
- NPI assigned
- Nov 28, 2019
- Last updated
- Apr 4, 2024
- Sex
- Male
- 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 | PH61460816 | WA | Primary |
Addresses
Primary practice location
4315 6TH Ave
Tacoma, WA 98406-4014
Mailing address
7445 W Mercer Way
Mercer Island, WA 98040-5536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH61460816 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| PH61460816 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1457998213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7445 W MERCER WAY",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064014",
"telephone_number": "206-903-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "GAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-28",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61460816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "PH61460816",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.