Active NPI
Jenny Chang, PHARMD, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Derry, NH
National Provider Identifier
1821574898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHCY-04447
- Practice address
- 48 E Broadway
Derry, NH 03038-2422 - Phone
- (603) 434-2600
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHCY-04447 | NH | Primary |
Addresses
Primary practice location
48 E Broadway
Derry, NH 03038-2422
Mailing address
133 English Village Rd Apt 304
Manchester, NH 03102-2439
Phone (917) 216-2226
Other practice location 1
177 Mammoth Rd
Londonderry, NH 03053-3208
Phone (603) 432-2657
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCY-04447 | NH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Manchester NH LLC | Past | Accepting new patients | |
| CVS Manchester NH, L.L.C. | 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 and National Provider Directory roles.
-
- Pharmacy
- Londonderry, NH
- NPI 1780767046
-
- Pharmacy
- Derry, NH
- NPI 1285733592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1821574898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 ENGLISH VILLAGE RD APT 304",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031022439",
"telephone_number": "917-216-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 E BROADWAY",
"city": "DERRY",
"state": "NH",
"postal_code": "030382422",
"telephone_number": "603-434-2600"
}
],
"practiceLocations": [
{
"address_1": "177 Mammoth Rd",
"address_purpose": "LOCATION",
"city": "Londonderry",
"state": "NH",
"postal_code": "030533208",
"country_code": "US",
"telephone_number": "603-432-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "JENNY",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NH",
"license": "PHCY-04447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.