Active NPI
Travis Chung, PHARM. D.
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1942399183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH56833
- Practice address
- 700 Lawrence Expway
Santa Clara, CA 95051 - Phone
- (408) 507-8063
- Fax
- (408) 236-4234
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- 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 | RPH56833 | CA | Primary |
Addresses
Primary practice location
700 Lawrence Expway
Santa Clara, CA 95051
Mailing address
350 E Taylor St Apt 5116
San Jose, CA 95112-3167
Phone (408) 507-8063
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 |
|---|---|---|---|
| RPH56833 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942399183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E TAYLOR ST APT 5116",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123167",
"telephone_number": "408-507-8063",
"fax_number": "408-236-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LAWRENCE EXPWAY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-507-8063",
"fax_number": "408-236-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "TRAVIS",
"name_prefix": "Mr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH56833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.