Active NPI
Kevin Kristian Gan, PHARM.D.
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1689043903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73375
- Practice address
- 2620 Chester Ave
Bakersfield, CA 93301-2015 - Phone
- (661) 337-7184
- NPI assigned
- Sep 16, 2015
- Sex
- Male
- 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 | 73375 | CA | Primary |
Addresses
Primary practice location
2620 Chester Ave
Bakersfield, CA 93301-2015
Mailing address
2620 Chester Ave
Bakersfield, CA 93301-2015
Other practice location 1
385 Tremont Ave
#119
East Orange, NJ 07018-1023
Phone (973) 676-1000 ext. 2137
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73375 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1689043903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012015",
"telephone_number": "661-337-7184"
}
],
"practiceLocations": [
{
"address_1": "385 Tremont Ave",
"address_2": "#119",
"address_purpose": "LOCATION",
"city": "East Orange",
"state": "NJ",
"postal_code": "070181023",
"country_code": "US",
"telephone_number": "973-676-1000 x2137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAN",
"first_name": "KEVIN",
"middle_name": "KRISTIAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.