Active NPI
Thelma Lee Chan, RPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1578583464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6939
- Practice address
- 150 Debra Rd
Chattanooga, TN 37411-5616 - Phone
- (423) 893-6500
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6939 | TN | Primary |
| Pharmacist | 183500000X | 22818 | TX |
Addresses
Primary practice location
150 Debra Rd
Chattanooga, TN 37411-5616
Mailing address
9427 Shadow Point Cir
Chattanooga, TN 37421-5372
Phone (423) 893-6500
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22818 | TX | MD | Pediatric Dentist |
| 6939 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578583464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9427 SHADOW POINT CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374215372",
"telephone_number": "423-893-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DEBRA RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115616",
"telephone_number": "423-893-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "THELMA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6939",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.