Active NPI
Jane Jessy Chacko
- Pharmacist
- Beaumont, TX
National Provider Identifier
1104281054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57795
- Practice address
- 3605 College St
Beaumont, TX 77701-4617 - Phone
- (409) 832-7373
- NPI assigned
- Dec 19, 2015
- Last updated
- Dec 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57795 | TX | Primary |
Addresses
Primary practice location
3605 College St
Beaumont, TX 77701-4617
Mailing address
3605 College St
Beaumont, TX 77701-4617
Phone (409) 832-7373
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 |
|---|---|---|---|
| 57795 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450483200000",
"number": "1104281054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014617",
"telephone_number": "409-832-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014617",
"telephone_number": "409-832-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "JANE",
"middle_name": "JESSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-19",
"last_updated": "2015-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Centauri Healthcare Group L.L.C. (Centauri RX)
- Centerwell Health Services (USA), LLC (CenterWell Home Health)
- Centerwell Health Services USA, LLC (CenterWell Home Health)
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care-Beaumont)
- Zachary Cerini, M.D.
- Chad Healthcare Services, Inc
- Chambers County Public Hospital District No 1 (Focused Care at Summer Place)
- Alexis Bianca Chambers, ARNP
- Jennifer Rae Chambers, CRNA
- Derek Chambless, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.