Individual provider Active NPI

Kanit Tachasooksaree

  • Pharmacist
  • Chino Hills, CA
National Provider Identifier
1205204666
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73132 Issued in CA
Practice address
2623 Pointe Coupee
Chino Hills, CA 91709-5156
Phone
(909) 837-9179
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73132 CA Primary

Addresses

Primary practice location

2623 Pointe Coupee
Chino Hills, CA 91709-5156

Mailing address

2623 Pointe Coupee
Chino Hills, CA 91709-5156
Phone (909) 837-9179

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1205204666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 POINTE COUPEE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095156",
            "telephone_number": "909-837-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 POINTE COUPEE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095156",
            "telephone_number": "909-837-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHASOOKSAREE",
        "first_name": "KANIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.