Individual provider Active NPI

Pierre Julien Chaperon

  • Pharmacist
  • Eagle River, AK
National Provider Identifier
1043807688
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHAP1079 Issued in AK
Practice address
11432 Business Blvd Ste 10
Eagle River, AK 99577-7740
Phone
(907) 694-7007
Fax
(907) 694-7051
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHAP1079 AK Primary

Addresses

Primary practice location

11432 Business Blvd Ste 10
Eagle River, AK 99577-7740

Mailing address

PO Box 770838
Eagle River, AK 99577-0838
Phone (907) 862-0770

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

LicenseStateTypeSpecialty
PHAP1079AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pharmacy PastSince Jan 3, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1043807688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770838",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770838",
            "telephone_number": "907-862-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11432 BUSINESS BLVD STE 10",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777740",
            "telephone_number": "907-694-7007",
            "fax_number": "907-694-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPERON",
        "first_name": "PIERRE",
        "middle_name": "JULIEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.