Active NPI
Crystal NMN Cha, PHARMD
- Pharmacist
- Connellys Springs, NC
National Provider Identifier
1336394923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22066
- Practice address
- 3451 John Williams Rd
Connellys Springs, NC 28612-7338 - Phone
- (828) 448-4195
- NPI assigned
- Nov 24, 2008
- Last updated
- May 20, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3902000000X | NC | |
| Pharmacist | 183500000X | 22066 | NC | Primary |
Addresses
Primary practice location
3451 John Williams Rd
Connellys Springs, NC 28612-7338
Mailing address
111 N Merganser Dr
Pikeville, NC 27863-8117
Phone (828) 448-4195
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 |
|---|---|---|---|
| 22066 | NC | MD | Pharmacist |
| 3902000000X | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495238400000",
"number": "1336394923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MERGANSER DR",
"city": "PIKEVILLE",
"state": "NC",
"postal_code": "278638117",
"telephone_number": "828-448-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 JOHN WILLIAMS RD",
"city": "CONNELLYS SPRINGS",
"state": "NC",
"postal_code": "286127338",
"telephone_number": "828-448-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "CRYSTAL",
"middle_name": "NMN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2017-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "3902000000X",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Connellys Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.