Active NPI
Chenyin Jenny Pan, PHARM.D.
- Pharmacist
- San Francisco, CA
National Provider Identifier
1871893305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53570
- Practice address
- 300 Gough St
San Francisco, CA 94102-5104 - Phone
- (415) 581-0600
- Fax
- (415) 581-0507
- NPI assigned
- Nov 1, 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 | 53570 | CA | Primary |
Addresses
Primary practice location
300 Gough St
San Francisco, CA 94102-5104
Mailing address
300 Gough St
San Francisco, CA 94102-5104
Phone (415) 581-0600
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
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1871893305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025104",
"telephone_number": "415-581-0600",
"fax_number": "415-581-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025104",
"telephone_number": "415-581-0600",
"fax_number": "415-581-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "CHENYIN",
"middle_name": "JENNY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.