Individual provider Active NPI

Janine N Chen, RPH

  • Pharmacist
  • La Verne, CA
National Provider Identifier
1124687587
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77806 Issued in CA
Practice address
2143 Foothill Blvd
La Verne, CA 91750-2942
Phone
(909) 596-6168
Fax
(909) 596-6155
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
77806CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
986 Pharmacy 8001 Inc CurrentSince Jun 2, 2024 Accepting new patients
986 Pharmacy 8001 Inc PastSince Feb 13, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.