Simon C Chan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

045361 Issued in NY

Practice address

5925 Kissena Blvd
Flushing, NY 11355-5547

Phone

(718) 939-2898

Fax

(718) 661-0878

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1598088023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555547",
            "telephone_number": "718-939-2898",
            "fax_number": "718-661-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555547",
            "telephone_number": "718-939-2898",
            "fax_number": "718-661-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SIMON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mei Wai Chan, DO
• Pak CHI Chan
• Paul K Chan, M.D.
• PO Chan
• Simon Chan, P.T.
• Sing Chan, M.D.
• So-Yee Chan, R.PH., CDM
• Tak Chan, M.D.
• Timothy Chan, PA-C
• Vivian Fung Chan, D.D.S.

• Pharmacist in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.