Individual provider Active NPI

Monicia Chan

  • Pharmacist
  • West Sacramento, CA
National Provider Identifier
1912315193
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59553 Issued in CA
Practice address
755 Riverpoint CT
West Sacramento, CA 95605-1654
Phone
(916) 373-2213
Fax
(916) 373-2213
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59553 CA Primary

Addresses

Primary practice location

755 Riverpoint CT
West Sacramento, CA 95605-1654

Mailing address

755 Riverpoint CT
West Sacramento, CA 95605-1654
Phone (916) 373-2213

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1912315193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 RIVERPOINT CT",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051654",
            "telephone_number": "916-373-2213",
            "fax_number": "916-373-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 RIVERPOINT CT",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051654",
            "telephone_number": "916-373-2213",
            "fax_number": "916-373-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MONICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.