Ethan N Chan, PHARMD
Pharmacist in Boston, Massachusetts
1679210694- Practice location
- 55 Fruit St, Boston, MA 02114-2621
- Phone
- 860-772-9334
- Fax
- —
- Last updated
- July 21, 2026
Ethan Norin Chan is a Pharmacist based in Boston, MA. Ethan Norin Chan practices in Boston, MA and has the professional credentials of PHARMD. The NPI Number for Ethan Norin Chan is 1679210694 and holds a License No. PH1003805 (MA). The current practice location address for Ethan Norin Chan is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 860-772-9334.
Provider Profile Details
- NPI Number
- 1679210694
- Provider Name
- Ethan Norin Chan
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fruit St, Boston, MA 02114-2621
- Phone Number
- 860-772-9334
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 20, 2022
- Last Update Date
- July 21, 2026
- Certification Date
- July 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2621 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2621
- Phone Number
- 860-772-9334
Provider Business Mailing Address Details
- Address
- 58 Kenyon RD
Waterford, CT 06385-4214 - City
- Waterford
- State
- CT
- Zip
- 06385-4214
License Information
- License Number
- PH1003805
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Boston, MA
View all Pharmacists in Boston →Frequently Asked Questions
What is the NPI number of Ethan N Chan, PHARMD?
The NPI number of Ethan N Chan, PHARMD is 1679210694. It was assigned on May 20, 2022 and is currently active in the NPPES registry.
What is the specialty of Ethan N Chan, PHARMD?
Ethan N Chan, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH1003805.
Where does Ethan N Chan, PHARMD practice?
The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 860-772-9334 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679210694 directly on the NPPES registry website.