PRISCILLA CHAN (NPI# 1710599667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710599667 |
| Entity Type | Individual |
| Full Name | PRISCILLA CHAN |
| Practice Address |
361 Bergen St Newark NJ 07103-2201 |
| Practice Telephone | 9736223021 |
| Practice Fax Number | 9736225163 |
| Mailing Telephone | 9736223021 |
| Mailing Fax Number | 9736225163 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03904000 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570924 | Priscilla O. Chan | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2018-03-02 |
| 1538549399 | Priscilla Lynne Chan | Acupuncturist | 301 N Raymond Ave, Fullerton, CA 92831-3822 | 2015-06-05 |
| 1487914370 | Priscilla Chan | Pediatrics | 1001 Potrero Ave, Department of Pediatrics, San Francisco, CA 94110-3518 | 2012-05-24 |
| 1427147552 | Priscilla Kinlok Chan | Social Worker | 268 Canal St, New York, NY 10013-3599 | 2006-10-12 |
| Street Address |
361 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255573036 | Walgreen Co | Pharmacy | 361 Bergen St, Newark, NJ 07103 | 2009-03-25 |
| 1568739449 | Anthony F Garcia | Pharmacist | 361 Bergen St, Newark, NJ 07103-2201 | 2011-11-21 |
| 1972885499 | Erin Mccaffrey | Pharmacist | 361 Bergen St, Newark, NJ 07103-2201 | 2011-09-10 |
| 1457632051 | Chantaille Blake | Pharmacist | 361 Bergen St, Newark, NJ 07103-2201 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| 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 |
|---|---|---|---|---|
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1023621703 | Theresa Ebinger | Pharmacist | 4114 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2020-08-24 |
| 1689217093 | Princess Ohene | Pharmacist | 3c Windsor Cir, Newark, DE 19702-1493 | 2019-10-18 |
| 1407498165 | Gabrielle Landes | Pharmacist | 50 Halsey St Apt 606t, Newark, NJ 07102-3079 | 2019-10-15 |
| 1033771894 | Vivek Shah | Pharmacist | 451 Bloomfield Ave, Newark, NJ 07107-1866 | 2019-07-02 |
| 1205324910 | Donna Marie Walsh | Pharmacist | 4755 Ogletown Stanton Rd Ofc Le15, Newark, DE 19718-2200 | 2018-04-27 |
| 1619465978 | Nermin R. Boles-attia | Pharmacist | 150 Bergen St Rm B134, Newark, NJ 07103-2496 | 2018-04-23 |
| 1043727589 | Kayleigh M Johnson | Pharmacist | 2000 Tamarack Rd Fl 2, Newark, OH 43055-1183 | 2018-01-05 |
| 1831615327 | Maria Fidelis Ilagan Romero | Pharmacist | 72 W Kyla Marie Dr, Newark, DE 19702-5433 | 2017-08-16 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| Find all providers in NEWARK | ||||
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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.