MR. WAYNE CHAN (NPI# 1326348483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326348483 |
| Entity Type | Individual |
| Full Name | MR. WAYNE CHAN |
| Credential | PHARM D |
| Practice Address |
5760 Cottle Rd San Jose CA 95123-3624 |
| Mailing Address |
2972 Stallion Way San Jose CA 95121-1782 |
| Practice Telephone | 4083629623 |
| Mailing Telephone | 4087105302 |
| Mailing Fax Number | 4088550989 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51696 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3970 Rivermark Plz, Safeway Pharmacy, Santa Clara, CA 950544155 | 4088550985 | 4088550989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323473 | Wayne Ken Chan | Optometrist | 229 Berkeley St, Boston, MA 02116-3724 | 2005-08-16 |
| 1659900546 | Wayne Elroy Chan | Nurse Practitioner | 504 State St, Schenectady, NY 12305-2414 | 2020-04-03 |
| 1013275114 | Wayne Wayfu Chan | Orthopaedic Surgery | 119 Belmont St, Worcester, MA 01605-2903 | 2012-04-25 |
| 1669612727 | Wayne Chan | Psychologist | 420 Thomaston St, Zebulon, GA 30295-3387 | 2009-03-03 |
| 1053447383 | Wayne Weiching Chan | Marriage & Family Therapist | 27401 Los Altos, Suite 275, Mission Viejo, CA 92691-6316 | 2007-02-23 |
| 1043233810 | Wayne Fai Chan | Radiology | 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216-5116 | 2006-07-25 |
| Street Address |
5760 COTTLE RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114320306 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 5760 Cottle Rd, San Jose, CA 95123-3624 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.