JESSICA PHUONG CHAN (NPI# 1346450707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346450707 |
| Entity Type | Individual |
| Full Name | JESSICA PHUONG CHAN |
| Credential | RPH |
| Practice Address |
1601 Cherry St Suite 1700 Philadelphia PA 19102-1321 |
| Mailing Address |
702 Lancaster Dr Thorofare NJ 08086-3820 |
| Practice Telephone | 2152821600 |
| Mailing Telephone | 8568538370 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP045336L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033488242 | Jessica H Chan | Chiropractor | 1509 S State St, Chicago, IL 60605-2804 | 2011-12-16 |
| 1437767613 | Jessica Chan | Pharmacist | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-14 |
| 1528680956 | Jessica Jocelyn Chan | Pharmacist | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-05-07 |
| 1164992277 | Jessica Chan | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-01 |
| 1669957775 | Jessica Chan | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2018-09-25 |
| 1093201188 | Jessica Wei-yee Chan | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2018-07-02 |
| 1861942732 | Jessica Chan | Counselor | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2016-10-04 |
| 1275920373 | Jessica Ivanka Treidl Chan | Radiology | 30 N 1900 E, #1a071, Salt Lake City, UT 84132-2140 | 2015-04-16 |
| 1871989830 | Jessica Chan | Counselor | 4724 Sw Macadam Ave, Portland, OR 97239 | 2015-04-07 |
| 1275927485 | Jessica M Chan | Internal Medicine | 500 S Anaheim Hills Rd Ste 206, Anaheim, CA 92807-4759 | 2015-03-25 |
| Street Address |
1601 CHERRY ST SUITE 1700 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477527141 | Kevin E Gard | Physical Therapist | 1601 Cherry St, Ms 21041, Philadelphia, PA 19102-1320 | 2006-02-17 |
| 1356997688 | Rachael Konigsberg | Physician Assistant | 1601 Cherry St, Philadelphia, PA 19102-1320 | 2019-08-13 |
| 1417470618 | Marlene Korman | Registered Nurse | 1601 Cherry St, Philadelphia, PA 19102-1320 | 2017-07-19 |
| 1184168858 | Drexel University | Case Management | 1601 Cherry St, Suite 11498, Philadelphia, PA 19102-1320 | 2016-12-14 |
| 1134663115 | Elizabeth M Smith | Dietitian, Registered | 1601 Cherry St, 2nd Fl, Parkway Health & Wellness, Philadelphia, PA 19102-1320 | 2016-12-12 |
| 1740722875 | Enclara Pharmacia, Inc. | Pharmacy | 1601 Cherry St, Suite 1800, Philadelphia, PA 19102-1320 | 2016-11-07 |
| 1932653813 | Akil Alfonso Piggott | Physical Therapist | 1601 Cherry St, Ms 21041, Philadelphia, PA 19102-1320 | 2016-08-09 |
| 1699149351 | Darlene Painter | Registered Nurse | 1601 Cherry St, Philadelphia, PA 19102-1320 | 2015-11-18 |
| 1306216866 | Enclara Pharmacia, Inc | Pharmacy | 1601 Cherry St, Suite 1800, Philadelphia, PA 19102-1320 | 2015-09-28 |
| 1659751055 | Rachelle Green | Physical Therapist | 1601 Cherry St, Ms 21041, Philadelphia, PA 19102-1320 | 2015-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| 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 |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.