Joni Chang, PHARMD

Individual provider Active NPI Psychiatric Pharmacist · Mather, CA

NPI 1679939201 · NPPES record last updated Sep 15, 2016

Key facts

NPI
1679939201
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric Pharmacist 1835P1300X
License
22643 (MD)
Practice address
10535 Hospital Way
Mather, CA 95655-4200
Phone
(916) 366-5444
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22643MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 22643 MD Yes

Addresses

Primary practice location

10535 Hospital Way
Mather, CA 95655-4200

Mailing address

617 24TH St
Apt 4
Sacramento, CA 95816-3678
Phone (301) 404-4938

Other providers in Mather, CA

All providers in Mather, CA · Psychiatric Pharmacist in California

Sources for this page

Verify at the official NPI Registry.