Active NPI
Sam CHI, PHARM.D.
- Pharmacist
- Cypress, CA
National Provider Identifier
1922548338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50724
- Practice address
- 11205 Knott Ave
Suite C
Cypress, CA 90630-5489 - Phone
- (800) 219-9462
- Fax
- (800) 219-9498
- NPI assigned
- Mar 3, 2017
- Sex
- Male
- 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 | 183500000X | 50724 | CA | Primary |
Addresses
Primary practice location
11205 Knott Ave
Suite C
Cypress, CA 90630-5489
Mailing address
18741 Deodar St
Fountain Valley, CA 92708-7220
Phone (800) 219-9462
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50724 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Drug Systems LLC | Past | Accepting new patients | |
| Pharmacy Corporation of America | 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.
-
- Long Term Care Pharmacy
- Cypress, CA
- NPI 1114950789
-
- Long Term Care Pharmacy
- Milwaukee, WI
- NPI 1124665336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1922548338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18741 DEODAR ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087220",
"telephone_number": "800-219-9462",
"fax_number": "800-219-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11205 KNOTT AVE",
"address_2": "SUITE C",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305489",
"telephone_number": "800-219-9462",
"fax_number": "800-219-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.