Active NPI
Emily Chan
- Pharmacist
- Oakland, CA
National Provider Identifier
1629484969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042044
- Practice address
- 10700 Macarthur Blvd Ste 14B
Oakland, CA 94605-5260 - Phone
- (510) 563-4300
- NPI assigned
- Jul 8, 2014
- Last updated
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302042044 | MI | Primary |
Addresses
Primary practice location
10700 Macarthur Blvd Ste 14B
Oakland, CA 94605-5260
Mailing address
717 E 21St St
Apt #4
Oakland, CA 94606-2078
Phone (917) 915-8238
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042044 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1629484969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 E 21ST ST",
"address_2": "APT #4",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062078",
"telephone_number": "917-915-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD STE 14B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055260",
"telephone_number": "510-563-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.