Konnor Charles Chesnutte, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

09315404 Issued in OH

Practice address

1875 E Mansfield St
Bucyrus, OH 44820-2075

Phone

(419) 562-8411

NPI assigned

Dec 19, 2022

Last updated

Aug 11, 2026By the provider in NPPES

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

State licenses

Practice roles

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.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 03058

  • Community/Retail Pharmacy
  • Fremont, OH
  • NPI 1265541593
  NPD (past)
• Wal-Mart Stores East LP

  dba Wal-Mart Pharmacy 10-2613

  • Community/Retail Pharmacy
  • Bucyrus, OH
  • NPI 1013934215
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1073225207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202075",
            "telephone_number": "419-562-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202075",
            "telephone_number": "419-562-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUTTE",
        "first_name": "KONNOR",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09315404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lee Butler, STNA ASSOC IN HUMSCI
• Marla Ann Butler, RN
• Cindy L Carver
• Jacqueline C Carver, LISW-S
• Sandra Marie Castle, LPN
• Angela Nichole Ciroli, NP-C
• Annemarie B. Clark, D.O.
• Lainey Marie Clingman, STNA
• Club View Vision Center, Inc.
• Amy Coats, PHARMD

• Pharmacy Technician in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Pharmacy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.