Individual provider Active NPI

Philip Chan, PHARMD

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1770869562
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59901 Issued in CA
Practice address
521 Parnassus Ave
Dept of Clin Pharm, C152, Box 0622
San Francisco, CA 94143-2206
Phone
(415) 502-6429
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59901 CA Primary

Addresses

Primary practice location

521 Parnassus Ave
Dept of Clin Pharm, C152, Box 0622
San Francisco, CA 94143-2206

Mailing address

387 Haight St
San Francisco, CA 94102-6128
Phone (415) 502-6429

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

LicenseStateTypeSpecialty
59901CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of California, San Francisco Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1770869562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 HAIGHT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026128",
            "telephone_number": "415-502-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "DEPT OF CLIN PHARM, C152, BOX 0622",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-502-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PHILIP",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.