=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780539106
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGAN ANNE CHASE PHARM.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6000 COMMERCE PKWY STE A
-----------------------------------------------------
City | MOUNT LAUREL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08054-2226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-505-5222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 112 PINE VALLEY RD
-----------------------------------------------------
City | CHERRY HILL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08034-2815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-913-2751
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835C0207X
-----------------------------------------------------
Taxonomy Name | Compounded Sterile Preparations Pharmacist
-----------------------------------------------------
License Number | 28RI03183000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------