Active NPI
Susan Chang
- Pharmacist
- Pasadena, CA
National Provider Identifier
1871067181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79130
- Practice address
- 603 S Lake Ave
Pasadena, CA 91106-3915 - Phone
- (626) 844-5049
- NPI assigned
- Jan 20, 2019
- Last updated
- Jan 20, 2019
- 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 | 79130 | CA | Primary |
Addresses
Primary practice location
603 S Lake Ave
Pasadena, CA 91106-3915
Mailing address
603 S Lake Ave
Pasadena, CA 91106-3915
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 |
|---|---|---|---|
| 79130 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
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, 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": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1871067181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063915",
"telephone_number": "626-844-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.