Active NPI
Crystal Chan
- Pharmacist
- Sacramento, CA
National Provider Identifier
1649684820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69370
- Practice address
- 5880 Stockton Blvd Ste C
Sacramento, CA 95824-3055 - Phone
- (916) 706-0278
- NPI assigned
- Jun 16, 2014
- Last updated
- Oct 17, 2024
- 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 | 69370 | CA | Primary |
Addresses
Primary practice location
5880 Stockton Blvd Ste C
Sacramento, CA 95824-3055
Mailing address
4831 D St
Sacramento, CA 95819-2915
Phone (626) 320-3927
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 |
|---|---|---|---|
| 69370 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06403
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1215047006
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1649684820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 D ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192915",
"telephone_number": "626-320-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 STOCKTON BLVD STE C",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243055",
"telephone_number": "916-706-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "CRYSTAL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.