Chester G Kaczor, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0006907 Issued in WV

Practice address

4749 Route 152
Lavalette, WV 25535-9703

Phone

(304) 525-3992

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SPRING VALLEY DR",
            "address_2": "APARTMENT # 8",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014300",
            "telephone_number": "567-204-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359703",
            "telephone_number": "304-525-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "CHESTER",
        "middle_name": "G",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006907",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-27410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Hoover Jr.
• Melissa Suzanne Hoover, LSW, BSW
• Jenna Howard
• Amara Hudson
• Nattia Inyangette
• Grace Avena Kazee
• Kayla Kendrick
• Jessica Lane
• Lavalette Chiropractic Inc
• Lavalette Volunteer Fire Dept

• Pharmacist in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.