Active NPI
Amelia Chan, RPH
- Pharmacist
- Edinburg, TX
National Provider Identifier
1801117916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21124
- Practice address
- 1520 S McColl Rd
Edinburg, TX 78539-8832 - Phone
- (956) 380-0540
- Fax
- (956) 380-5092
- NPI assigned
- Jun 13, 2010
- Last updated
- Jun 13, 2010
- 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 | 21124 | TX | Primary |
Addresses
Primary practice location
1520 S McColl Rd
Edinburg, TX 78539-8832
Mailing address
3308 San Benito
Mission, TX 78572-7595
Phone (832) 668-9288
Other names 1
- Amelia Kamtong Chan
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21124 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276387200000",
"number": "1801117916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 SAN BENITO",
"city": "MISSION",
"state": "TX",
"postal_code": "785727595",
"telephone_number": "832-668-9288",
"fax_number": "956-519-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398832",
"telephone_number": "956-380-0540",
"fax_number": "956-380-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "AMELIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-13",
"last_updated": "2010-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "21124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "CHAN",
"middle_name": "KAMTONG",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.