Active NPI
Garry Chan, PHARM.D.
- Pharmacist
- Arcadia, CA
National Provider Identifier
1760896021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 37144
- Practice address
- 1002 S Baldwin Ave
Arcadia, CA 91007-7234 - Phone
- (626) 447-2138
- Fax
- (626) 447-6433
- NPI assigned
- Jun 16, 2014
- 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 | RPH 37144 | CA | Primary |
Addresses
Primary practice location
1002 S Baldwin Ave
Arcadia, CA 91007-7234
Mailing address
5275 Arville St
Suite 156
Las Vegas, NV 89118-4936
Phone (866) 643-3546
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 |
|---|---|---|---|
| RPH 37144 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fidelis Health Group LLC | Past | Accepting new patients | |
| Fidelis Health Group LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialty Pharmacy
- Arcadia, CA
- NPI 1316135569
-
- Specialty Pharmacy
- Las Vegas, NV
- NPI 1255761128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417305600000",
"number": "1760896021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 ARVILLE ST",
"address_2": "SUITE 156",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891184936",
"telephone_number": "866-643-3546",
"fax_number": "702-815-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S BALDWIN AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077234",
"telephone_number": "626-447-2138",
"fax_number": "626-447-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "GARRY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2014-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 37144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.