Cheng-Huan Chang, RPH
Individual provider Active NPI Pharmacist · Brier, WA
NPI 1609201276 · NPPES record last updated Sep 13, 2013
Key facts
- NPI
- 1609201276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00056410 (WA)
- Practice address
- 22740 Old Poplar Way
Brier, WA 98036-8125 - Phone
- (206) 251-7067
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| PH00056410 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00056410 | WA | Yes |
Addresses
Primary practice location
22740 Old Poplar Way
Brier, WA 98036-8125
Mailing address
22740 Old Poplar Way
Brier, WA 98036-8125
Phone (206) 251-7067
Other providers in Brier, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2013. 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.