Active NPI
Rachel Jo Chinikaylo, PHARMD, RPH
- Pharmacist
- Corvallis, MT
National Provider Identifier
1083287205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79512
- Practice address
- 1029 Main St
Corvallis, MT 59828-9374 - Phone
- (406) 961-3221
- Fax
- (406) 961-4344
- NPI assigned
- Jul 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 79512 | MT | Primary |
Addresses
Primary practice location
1029 Main St
Corvallis, MT 59828-9374
Mailing address
1029 Main St
Corvallis, MT 59828-9374
Phone (406) 961-3221
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79512 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Family RX Inc. | Current | Accepting new patients | |
| Corvallis Drug Inc | Pharmacist | 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.
-
- Community/Retail Pharmacy
- Stevensville, MT
- NPI 1629724596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1083287205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 MAIN ST",
"city": "CORVALLIS",
"state": "MT",
"postal_code": "598289374",
"telephone_number": "406-961-3221",
"fax_number": "406-961-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 MAIN ST",
"city": "CORVALLIS",
"state": "MT",
"postal_code": "598289374",
"telephone_number": "406-961-3221",
"fax_number": "406-961-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINIKAYLO",
"first_name": "RACHEL",
"middle_name": "JO",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-24",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "79512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.