Susan S Chen, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 44011 Issued in CA

Practice address

220 E Bonita Ave
San Dimas, CA 91773-3186

Phone

(909) 599-8874

Fax

(909) 599-8843

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shu Ning Chang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1992188791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733186",
            "telephone_number": "909-599-8874",
            "fax_number": "909-599-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733186",
            "telephone_number": "909-599-8874",
            "fax_number": "909-599-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 44011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHU",
            "last_name": "CHANG",
            "middle_name": "NING",
            "credential": "PHARMACIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Luisa Chavez-Mancillas, ACSW
• Alyssia Marie Chavez
• Genesis Chavez
• Nathan Edward Chavez
• Shih Ping Chen, PHARM D.
• Ying-Ju Amanda Chen, CCC-SLP
• Ravi Kiran Chilakamarri
• Alison Marie Chin
• Stephanie Chittivaranon
• Polly Chiu

• Pharmacist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.