Active NPI
Victor Alexander Chirkin, RPH
- Pharmacist
- Suisun City, CA
National Provider Identifier
1366846487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31800195
- Practice address
- 270 Sunset Ave
Suisun City, CA 94585-1766 - Phone
- (707) 426-1274
- Fax
- (707) 426-3280
- NPI assigned
- Oct 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31800195 | CA | Primary |
Addresses
Primary practice location
270 Sunset Ave
Suisun City, CA 94585-1766
Mailing address
270 Sunset Ave
Suisun City, CA 94585-1766
Phone (707) 426-1274
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31800195 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleys | Past | Accepting new patients |
Organizations & group practices 1
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
- Galt, CA
- NPI 1174633820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1366846487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 SUNSET AVE",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945851766",
"telephone_number": "707-426-1274",
"fax_number": "707-426-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 SUNSET AVE",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945851766",
"telephone_number": "707-426-1274",
"fax_number": "707-426-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRKIN",
"first_name": "VICTOR",
"middle_name": "ALEXANDER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "31800195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suisun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.