Mason Jung Chan, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

RP456786 Issued in PA

Practice address

150 Monument Rd
Bala Cynwyd, PA 19004-1702

Phone

(267) 581-5328

NPI assigned

Sep 8, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1700507753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SIBLEY AVE APT 209",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032347",
            "telephone_number": "917-815-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041702",
            "telephone_number": "267-581-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MASON",
        "middle_name": "JUNG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NJ",
            "license": "28RI04268200",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP456786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Caughey, DPT
• Joseph D. Cautilli, PH.D
• Center for Healing and Development, PLLC
• Center for Loss and Recovery LLC
• Courtney Chan
• Change Point Behavioral Health LLC
• Gordana Chelsvig, R.D., LDN
• Albert Cheng
• Sofia Michelle Chernoff, PSYD
• Raynard J Cheung, M.D.

• Ambulatory Care Pharmacist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Ambulatory Care Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.