Individual provider Active NPI

Chad Hawkshead, MSN, PHARMD

  • Pharmacist
  • Fort Lauderdale, FL
National Provider Identifier
1073850814
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49588 Issued in FL
Practice address
1940 Cordova Rd
Fort Lauderdale, FL 33316-2156
Phone
(954) 847-2850
NPI assigned
Jan 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49588 FL Primary

Addresses

Primary practice location

1940 Cordova Rd
Fort Lauderdale, FL 33316-2156

Mailing address

517 SW 13TH St
Fort Lauderdale, FL 33315-1420
Phone (954) 328-7665

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
Credentials
Master of Science - Nursing, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS49588FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1073850814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SW 13TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151420",
            "telephone_number": "954-328-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CORDOVA RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162156",
            "telephone_number": "954-847-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKSHEAD",
        "first_name": "CHAD",
        "credential": "MSN, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.