Philip En Chang, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Nicholasville, KY
NPI 1790318343 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1790318343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 74436 (CA)
- Practice address
- 200 E Brannon Rd
Nicholasville, KY 40356-8059 - Phone
- (859) 971-4303
- NPI assigned
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74436 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 74436 | CA | Yes |
Addresses
Primary practice location
200 E Brannon Rd
Nicholasville, KY 40356-8059
Mailing address
200 E Brannon Rd
Nicholasville, KY 40356-8059
Phone (859) 971-4303
Other providers in Nicholasville, KY
- Laura Carver
- Grace M Cates
- Hannah Caudill
- Central Kentucky Dermatology PLLC
- Lindsay Cha
- Ali Imran Cheema
- Samantha Brianna Chenot
- Chiro One Wellness Center of Nicholasville PLLC
- Christian Care Communities
- Paige T Christian
All providers in Nicholasville, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.