Johnny Anthony Chagolla, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

62803 Issued in CA

Practice address

26973 Newport Rd
Menifee, CA 92584

Phone

(951) 301-6356

NPI assigned

Jul 31, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  • Pharmacy
  • Menifee, CA
  • NPI 1093153017
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1023799244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26973 NEWPORT RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-301-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26973 NEWPORT RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-301-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGOLLA",
        "first_name": "JOHNNY",
        "middle_name": "ANTHONY",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "62803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centered Wellness
• Crystal Cerasaro, PPS
• Raquel Angelica Cesena, LVN
• Sawsan Chaaban, PHARM.D
• Julieanne Chacko
• Victoria Trujillo Chandler, FNP
• Jadah Parks Chatterjee, RN, IBCLC
• Junxia Chen, LMT
• Siming Chen, CMT
• Zixiang Cheng, ND

• Pharmacy Technician in Menifee, CA
• Providers in Menifee, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.