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MR. KEVIN CHANG PHARMD
NPI 1164793626
Pharmacist in Petaluma, CA

Active since January 15, 2012
939 LAKEVILLE HWY, PETALUMA, CA 94952(707) 762-1036 Get Directions Write a Review

NPPES record last updated: January 21, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Kevin Chang Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN CHANG PHARMD (NPI 1164793626) is an individual pharmacist in Petaluma, California, licensed in California (58223) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1164793626
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KEVIN CHANGCredential: PHARMD
Location Address939 LAKEVILLE HWYPetaluma, CA 94952-3329
Mailing Address939 Lakeville HwyPetaluma, CA 94952-3329
Phone(707) 762-1036
Sole ProprietorYes
Enumeration DateJanuary 15, 2012
Last NPPES UpdateJanuary 21, 2012
✔ NPI 1164793626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 58223
Definition
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.
939 LAKEVILLE HWY, Petaluma, CA 94952
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCKY STORES II LLC
Pharmacy (Community/Retail Pharmacy)
939 LAKEVILLE HWY
PETALUMA, CA 94952
Sonoma County (707) 762-1036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Chang's NPI number?

The NPI number for Kevin Chang is 1164793626. It was assigned to this individual provider in the NPPES registry on January 15, 2012.

Where is Kevin Chang located?

Kevin Chang practices at 939 Lakeville Hwy, Petaluma, CA 94952. The listed phone number is (707) 762-1036.

What is Kevin Chang's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kevin Chang was last updated on January 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.