Individual provider Active NPI

Erin Grey Kachur, PHARMD

  • Pharmacist
  • Daytona Beach, FL
National Provider Identifier
1427665728
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61063 Issued in FL
Practice address
1220 Willis Ave BLDG 2
Daytona Beach, FL 32114-2810
Phone
(386) 236-3188
Fax
(386) 254-1230
NPI assigned
Sep 30, 2020
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61063 FL Primary

Addresses

Primary practice location

1220 Willis Ave BLDG 2
Daytona Beach, FL 32114-2810

Mailing address

1220 Willis Ave BLDG 2
Daytona Beach, FL 32114-2810
Phone (386) 236-3188

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

LicenseStateTypeSpecialty
PS61063FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare Inc PastSince Dec 10, 2023 Accepting new patients
Publix Super Markets Inc PastSince Oct 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erin.kachur.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1427665728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WILLIS AVE BLDG 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142810",
            "telephone_number": "386-236-3188",
            "fax_number": "386-254-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WILLIS AVE BLDG 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142810",
            "telephone_number": "386-236-3188",
            "fax_number": "386-254-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHUR",
        "first_name": "ERIN",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.