Individual provider Active NPI

Gary Shu-Hao Chang, PHARM. D

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1992107593
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60475009 Issued in WA
Practice address
15100 SE 38TH St
Bellevue, WA 98006-1728
Phone
(425) 746-4028
NPI assigned
Sep 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60475009 WA Primary

Addresses

Primary practice location

15100 SE 38TH St
Bellevue, WA 98006-1728

Mailing address

8708 124TH Ave NE
Kirkland, WA 98033-5852
Phone (425) 889-7496

Other practice location 1

947 Powell Ave SW Ste 100
Renton, WA 98057-2975
Phone (425) 203-0976

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com

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

LicenseStateTypeSpecialty
PH60475009WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1992107593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 124TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335852",
            "telephone_number": "425-889-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 SE 38TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061728",
            "telephone_number": "425-746-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 Powell Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572975",
            "country_code": "US",
            "telephone_number": "425-203-0976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GARY",
        "middle_name": "SHU-HAO",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60475009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "947 Powell Ave SW Ste 100",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.