Individual provider Active NPI

Katherine Chan, RPH

  • Pharmacist
  • Greenfield, IN
National Provider Identifier
1821384801
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26017591A Issued in IN
Practice address
6169 W Stoner Dr Ste 180
Greenfield, IN 46140-6604
Phone
(317) 866-1060
Fax
(317) 866-1069
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

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.

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

LicenseStateTypeSpecialty
26017591AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy Solutions Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26017591A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

6169 W Stoner Dr Ste 180
Greenfield, IN 46140-6604

Mailing address

6169 W Stoner Dr Ste 180
Greenfield, IN 46140-6604
Phone (317) 866-1060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2011.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1821384801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 W STONER DR STE 180",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461406604",
            "telephone_number": "317-866-1060",
            "fax_number": "317-866-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 W STONER DR STE 180",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461406604",
            "telephone_number": "317-866-1060",
            "fax_number": "317-866-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KATHERINE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26017591A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.