Active NPI
Samuel Chazin
- Pharmacist
- Homer, AK
National Provider Identifier
1043081797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 211037
- Practice address
- 90 Sterling Hwy
Homer, AK 99603-7439 - Phone
- (907) 226-1060
- NPI assigned
- Jan 11, 2024
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 211037 | AK | Primary |
Addresses
Primary practice location
90 Sterling Hwy
Homer, AK 99603-7439
Mailing address
818 Smoky Bay Way
PMB 207
Homer, AK 99603-7653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211037 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1043081797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 SMOKY BAY WAY",
"address_2": "PMB 207",
"city": "HOMER",
"state": "AK",
"postal_code": "996037653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 STERLING HWY",
"city": "HOMER",
"state": "AK",
"postal_code": "996037439",
"telephone_number": "907-226-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAZIN",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "211037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
- Carr-Gottstein Foods Co (Safeway Pharmacy #1832)
- Carr-Gottstein Foods Co (Safeway Pharmacy #1832)
- Lorne D Carroll, RN
- Changing Tides Counseling and Wellness, LLC (Sea Sparrow Counseling and Wellness, LLC)
- Changing Tides Therapy Services, Inc
- Virginia Chazin, LMT
- Amanda Jo Cherok, PT, DPT
- Jay C Cherok, DPT
- Melody Chesley, L.AC.
- Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.