Active NPI
Diane Chachko, PHARM.D.
- Pharmacist
- Warren, OH
National Provider Identifier
1316347669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03233974
- Practice address
- 4205 E Market St
Warren, OH 44484-2246 - Phone
- (330) 856-1794
- NPI assigned
- Aug 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448980 | PA | |
| Pharmacist | 183500000X | 03233974 | OH | Primary |
Addresses
Primary practice location
4205 E Market St
Warren, OH 44484-2246
Mailing address
2602 Avalon Creek Blvd
Vienna, OH 44473-9564
Other practice location 1
7295 Market St
Boardman, OH 44512-4556
Phone (330) 726-9374
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03233974 | OH | MD | Pharmacist |
| RP448980 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Rite Aid of Ohio Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Warren, OH
- NPI 1609882919
-
- Community/Retail Pharmacy
- Warren, OH
- NPI 1831200096
-
- Pharmacy
- Boardman, OH
- NPI 1770598799
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1316347669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 AVALON CREEK BLVD",
"city": "VIENNA",
"state": "OH",
"postal_code": "444739564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444842246",
"telephone_number": "330-856-1794"
}
],
"practiceLocations": [
{
"address_1": "7295 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445124556",
"country_code": "US",
"telephone_number": "330-726-9374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHACHKO",
"first_name": "DIANE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP448980",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03233974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.