Dick Chang, RPH
Individual provider Active NPI Pharmacist · Altadena, CA
NPI 1508185034 · NPPES record last updated Sep 12, 2010
Key facts
- NPI
- 1508185034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36876 (CA)
- Practice address
- 735 E Altadena Dr
Altadena, CA 91001-2302 - Phone
- (626) 791-7935
- Fax
- (626) 791-7916
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36876 | CA | MD | General Practice Dentistry |
| 08259 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36876 | CA | Yes |
| Pharmacist | 183500000X | 08259 | NV |
Addresses
Primary practice location
735 E Altadena Dr
Altadena, CA 91001-2302
Mailing address
735 E Altadena Dr
Altadena, CA 91001-2302
Phone (626) 791-7935
Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.