Active NPI
Jansen Chastenet Filio
- Pharmacist
- Long Beach, CA
National Provider Identifier
1104183680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR60233212
- Practice address
- 600 Long Beach Blvd
Long Beach, CA 90802-1321 - Phone
- (562) 279-1027
- Fax
- (562) 270-1022
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IR60233212 | WA | Primary |
| Pharmacist | 183500000X | INT 28471 | CA | |
| Pharmacist | 183500000X | E18206 | ID |
Addresses
Primary practice location
600 Long Beach Blvd
Long Beach, CA 90802-1321
Mailing address
600 Long Beach Blvd
Long Beach, CA 90802-1321
Phone (562) 279-1027
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 |
|---|---|---|---|
| INT 28471 | CA | MD | Pharmacist |
| E18206 | ID | MD | Pharmacist |
| IR60233212 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Long Beach, CA
- NPI 1063427078
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347667200000",
"number": "1104183680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021321",
"telephone_number": "562-279-1027",
"fax_number": "562-270-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021321",
"telephone_number": "562-279-1027",
"fax_number": "562-270-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIO",
"first_name": "JANSEN",
"middle_name": "CHASTENET",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR60233212",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "INT 28471",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "E18206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.