Individual provider Active NPI

Gregory Bradford Chatterton, R.PH. C.PH.

  • Pharmacist
  • Boca Raton, FL
National Provider Identifier
1396838702
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS18239 Issued in FL
Practice address
21197 White Oak Ave
Boca Raton, FL 33428-1716
Phone
(561) 716-1127
Fax
(561) 487-6043
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS18239 FL Primary

Addresses

Primary practice location

21197 White Oak Ave
Boca Raton, FL 33428-1716

Mailing address

21197 White Oak Ave
Boca Raton, FL 33428-1716
Phone (561) 716-1127

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

LicenseStateTypeSpecialty
PS18239FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1396838702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21197 WHITE OAK AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281716",
            "telephone_number": "561-716-1127",
            "fax_number": "561-487-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21197 WHITE OAK AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281716",
            "telephone_number": "561-716-1127",
            "fax_number": "561-487-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERTON",
        "first_name": "GREGORY",
        "middle_name": "BRADFORD",
        "name_prefix": "Mr.",
        "credential": "R.PH. C.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS18239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.