Active NPI
Christy Chan
- Pharmacist
- Windsor, CA
National Provider Identifier
1679219398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85496
- Practice address
- 6650 Hembree LN
Windsor, CA 95492-2701 - Phone
- (707) 836-7300
- NPI assigned
- May 5, 2022
- Last updated
- May 7, 2023
- 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 | 85496 | CA | Primary |
Addresses
Primary practice location
6650 Hembree LN
Windsor, CA 95492-2701
Mailing address
1515 N Milpitas Blvd SPC 105
Milpitas, CA 95035-2750
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 |
|---|---|---|---|
| 85496 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1679219398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N MILPITAS BLVD SPC 105",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950352750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 HEMBREE LN",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954922701",
"telephone_number": "707-836-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "CHRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-05",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.