NPIMap

Individual provider Active NPI

Kevin Crawford Chatmon, PHARM.D.

  • Pharmacist
  • Brookhaven, GA
National Provider Identifier
1497037873
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS39537 Issued in FL
Practice address
2154 Johnson Ferry Rd NE
Brookhaven, GA 30319-2558
Phone
(770) 234-9839
Fax
(770) 234-9845
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS39537 FL Primary

Addresses

Primary practice location

2154 Johnson Ferry Rd NE
Brookhaven, GA 30319-2558

Mailing address

2154 Johnson Ferry Rd NE
Brookhaven, GA 30319-2558
Phone (770) 234-9839

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
PS39537FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past 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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1497037873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 JOHNSON FERRY RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192558",
            "telephone_number": "770-234-9839",
            "fax_number": "770-234-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 JOHNSON FERRY RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192558",
            "telephone_number": "770-234-9839",
            "fax_number": "770-234-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMON",
        "first_name": "KEVIN",
        "middle_name": "CRAWFORD",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.