Active NPI
Janine N Chen, RPH
- Pharmacist
- La Verne, CA
National Provider Identifier
1124687587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77806
- Practice address
- 2143 Foothill Blvd
La Verne, CA 91750-2942 - Phone
- (909) 596-6168
- Fax
- (909) 596-6155
- NPI assigned
- Jun 10, 2019
- Last updated
- Feb 7, 2022
- 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 | 77806 | CA | Primary |
Addresses
Primary practice location
2143 Foothill Blvd
La Verne, CA 91750-2942
Mailing address
2143 Foothill Blvd
La Verne, CA 91750-2942
Phone (909) 596-6168
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | janinen@4seasonsrx.com |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77806 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 986 Pharmacy 8001 Inc | Current | Accepting new patients | |
| 986 Pharmacy 8001 Inc | Past | Accepting new patients |
Locations
2143 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-6168
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1124687587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502942",
"telephone_number": "909-596-6168",
"fax_number": "909-596-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502942",
"telephone_number": "909-596-6168",
"fax_number": "909-596-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JANINE",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77806",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "janinen@4seasonsrx.com",
"affiliation": "N",
"address_1": "1127 Wilshire Blvd Ste 201",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900173903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.