Active NPI
Fan Sun, PHARMD
- Oncology Pharmacist
- Atlanta, GA
National Provider Identifier
1992562854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- RPH033055
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (404) 834-5878
- NPI assigned
- Mar 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | RPH033055 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
4694 Dewitt Dr
Duluth, GA 30097-5607
Phone (404) 834-5878
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 |
|---|---|---|---|
| RPH033055 | GA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1992562854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4694 DEWITT DR",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975607",
"telephone_number": "404-834-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-834-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "FAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "GA",
"license": "RPH033055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.