Ronalda Lynn Chaney, PHARM D

Individual provider Active NPI Pharmacist · Banning, CA

NPI 1447692157 · NPPES record last updated Jul 23, 2013

Key facts

NPI
1447692157
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
58415 (CA)
Practice address
60 N Highland Springs Ave
Banning, CA 92220-3048
Phone
(951) 845-5984
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
58415CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58415 CA Yes

Addresses

Primary practice location

60 N Highland Springs Ave
Banning, CA 92220-3048

Mailing address

PO Box 6837
La Quinta, CA 92248-6837
Phone (612) 730-6952

Other providers in Banning, CA

All providers in Banning, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.