Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679210694 Individual Practitioner Male Practitioner

Dr. Ethan Norin Chan , PharmD

Pharmacist • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Chan, PharmD is a registered healthcare professional specializing in Pharmacist in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 8607729334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
509 Specialists

Practicing in Boston, MA (6023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Stuti Shroff , MD, MBBS

Pathology - Anatomic Pathology

NPI 1003050691

Doctor of Medicine (M.D.), Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Nancy Wang , MD

Internal Medicine - Hematology & Oncology

NPI 1003101056

Doctor of Medicine (M.D.)

NPI 1003103813

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

Dr. John Danko , DO

Physical Medicine & Rehabilitation

NPI 1003109596

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Lobritz , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003122540

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

Kelly Trecartin , NP

Nurse Practitioner - Acute Care

NPI 1003130469

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 21, 2026

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

👤
Provider Name / Credentials Updated July 21, 2026

Recorded as ETHAN CHAN, PHARMD

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

Pharmacist (License #PH1003805 in MA)

NPI Profile Active May 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2022

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

📍
Updated Business Mailing Address May 20, 2022

Registered at 58 KENYON RD, WATERFORD, CT 063854214

👤
Provider Name / Credentials Updated May 20, 2022

Recorded as ETHAN CHAN

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

Pharmacy Technician (License #PTT15131 in MA)

🟢
Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

58 Kenyon Rd

Waterford, CT 063854214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.