Active NPI
Susan Chang
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1780103028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP041670L
- Practice address
- 2600 N American St
Philadelphia, PA 19133-3413 - Phone
- (215) 426-1007
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | RP041670L | PA | Primary |
Addresses
Primary practice location
2600 N American St
Philadelphia, PA 19133-3413
Mailing address
1620 Chadwyck PL
Blue Bell, PA 19422-2912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP041670L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1780103028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 CHADWYCK PL",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N AMERICAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333413",
"telephone_number": "215-426-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041670L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.