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Dr. Ethan Norin Chan , PharmD

Pharmacist β€’ Boston, MA

Active NPI 1679210694 Individual Practitioner Male Practitioner
Practice location in NPPES

55 Fruit St
Boston, MA 021142621

Call 8607729334 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 8607729334
Organization at the Same NPPES Address or Phone
Massachusetts General Hospital Facility NPI 1184613721

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boston and Massachusetts

504 active clinicians are listed under Pharmacist with a practice address in Boston, MA (5,935 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

0% of these 504 clinicians have the CMS telehealth indicator.

0% of these 504 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MA PH1003805

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Matthew Abadir

Anesthesiology

NPI 1699120550
Taimur Abbasi

Internal Medicine

NPI 1841673522
Moustafa Abdalla

Student in an Organized Health Care Education/Training Program

NPI 1952046062
Dr. Shadi Abdar Esfahani , MD, MPH

Radiology - Diagnostic Radiology

NPI 1497137590

Doctor of Medicine (M.D.), Master of Public Health

Dr. Rachel Abelman , MD

Internal Medicine - Hematology & Oncology

NPI 1255821617

Doctor of Medicine (M.D.)

Dr. Kristine Abo , MD, PhD

Student in an Organized Health Care Education/Training Program

NPI 1932801743

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 21, 2026

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 8607729334)

πŸ‘€
Provider Name / Credentials Updated July 21, 2026

Recorded as ETHAN CHAN, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2026

Pharmacist (license number reported to NPPES: MA PH1003805)

βœ…
NPI Profile Active May 20, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2022

Registered at 698 BANK ST, NEW LONDON, CT 063205040 (Tel: 8607729334)

πŸ“
Business Mailing Address (Initial Record) May 20, 2022

Registered at 58 KENYON RD, WATERFORD, CT 063854214

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2022

Recorded as ETHAN CHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2022

Pharmacy Technician (license number reported to NPPES: MA PTT15131)

🟒
Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679210694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2022
Last Update: July 21, 2026
Sole Proprietor: No

Other Pharmacists in Boston

All Pharmacists in Boston

Mailing Address

58 Kenyon Rd

Waterford, CT 063854214

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.