Active NPI
Tracie Chan, RPH
- Pharmacist
- West Grove, PA
National Provider Identifier
1992065205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP445413
- Practice address
- 1015 W Baltimore Pike
West Grove, PA 19390-9459 - Phone
- (610) 869-1340
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19922 | MD | |
| Pharmacist | 183500000X | RP445413 | PA | Primary |
Addresses
Primary practice location
1015 W Baltimore Pike
West Grove, PA 19390-9459
Mailing address
1015 W Baltimore Pike
Jennersville Regional Hospital Pharmacy
West Grove, PA 19390-9459
Phone (610) 869-1340
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19922 | MD | MD | Pharmacist |
| RP445413 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1992065205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"address_2": "JENNERSVILLE REGIONAL HOSPITAL PHARMACY",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909459",
"telephone_number": "610-869-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909459",
"telephone_number": "610-869-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "TRACIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19922",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP445413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.