Active NPI
Kyle Chestnas
- Pharmacist
- Chesterfield, MO
National Provider Identifier
1144686932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2018015649
- Practice address
- 40 THF Blvd
Chesterfield, MO 63005-1150 - Phone
- (636) 536-6215
- NPI assigned
- Jan 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021324 | LA | |
| Pharmacist | 183500000X | 2018015649 | MO | Primary |
Addresses
Primary practice location
40 THF Blvd
Chesterfield, MO 63005-1150
Mailing address
8455 Fern Ave Apt 1912
Shreveport, LA 71105-5790
Phone (314) 477-2334
Other practice location 1
9209 Mansfield Rd
Shreveport, LA 71118-3152
Phone (318) 671-0271
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 |
|---|---|---|---|
| 021324 | LA | MD | Pharmacist |
| 2018015649 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1144686932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8455 FERN AVE APT 1912",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055790",
"telephone_number": "314-477-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 THF BLVD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051150",
"telephone_number": "636-536-6215"
}
],
"practiceLocations": [
{
"address_1": "9209 Mansfield Rd",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711183152",
"country_code": "US",
"telephone_number": "318-671-0271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHESTNAS",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-08",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021324",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018015649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
- Chesterfield Valley Dermatology PC
- Chesterfield Valley Gastroenterology LLC
- Chesterfield Valley Internal Medicine & Pediatrics LLC
- Chesterfield Villas, LLC (Chesterfield Villas)
- Chesterfield-Bankhead DDS Orthodontics PC (Chesterfield Orthodontics)
- Ngozika Joy Chiemeka, MD
- Child Neurology - Washington (Child Neurology-WUCA, LLC)
- Child Neurology Associates Inc
- Child Neurology Associates, Inc.
- Children'S Gastroenterology of St. Louis, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.