Individual provider Active NPI

Chad J Beere, PHARMD

  • Pharmacist
  • Mansfield, OH
National Provider Identifier
1447856463
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03223035 Issued in OH
Practice address
755 Ashland Rd
Mansfield, OH 44905-2075
Phone
(419) 589-2030
Fax
(419) 589-2659
NPI assigned
Dec 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03223035 OH Primary

Addresses

Primary practice location

755 Ashland Rd
Mansfield, OH 44905-2075

Mailing address

755 Ashland Rd
Mansfield, OH 44905-2075
Phone (419) 589-2030

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MANSFIELD Ohio CVS Stores LLC

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
03223035OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores LLC PastSince Dec 13, 2020 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Dec 13, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1447856463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ASHLAND RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052075",
            "telephone_number": "419-589-2030",
            "fax_number": "419-589-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ASHLAND RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052075",
            "telephone_number": "419-589-2030",
            "fax_number": "419-589-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERE",
        "first_name": "CHAD",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03223035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MANSFIELD",
            "affiliation": "Y",
            "affiliationName": "Ohio CVS Stores LLC",
            "address_1": "755 Ashland Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449052075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.