Active NPI
Fay Sum Chan, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1699085076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S016811
- Practice address
- 4036 N 1St Ave
Tucson, AZ 85719-1005 - Phone
- (520) 293-8997
- NPI assigned
- Oct 19, 2010
- 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 | S016811 | AZ | Primary |
Addresses
Primary practice location
4036 N 1St Ave
Tucson, AZ 85719-1005
Mailing address
1029 N del Valle PL
Tucson, AZ 85711-1662
Phone (321) 243-6967
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 |
|---|---|---|---|
| S016811 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1699085076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 N DEL VALLE PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111662",
"telephone_number": "321-243-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 N 1ST AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191005",
"telephone_number": "520-293-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "FAY",
"middle_name": "SUM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.