Judy Chan

Primary specialty

PharmacistTaxonomy code 183500000X

License

19063 Issued in OK

Practice address

4423 Southwest Blvd
Tulsa, OK 74107-6472

Phone

(918) 446-3541

NPI assigned

Mar 30, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1740364884
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1477058402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ELMONT DR APT 3212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076472",
            "telephone_number": "918-446-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.15776@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Store Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "4423 Southwest Blvd",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741076472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurie Jane Chambliss, LADC-S
• Hunter Chamma, DO
• Grace Champlin, MD
• Keith Champlin, M.D.
• Hoi Y Chan, MD
• Ka-Yan Mandy Chan, RD, LD
• Leslie Chan, MD
• Linda Chan, MD
• Chance Phillips, FNP, Inc.
• William Franklin Chance

• Pharmacist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.