Active NPI
Kan Chotinanda, PHARMD
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1558875823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39325
- Practice address
- 444 Monument Rd
Jacksonville, FL 32225-6429 - Phone
- (904) 722-8573
- NPI assigned
- Nov 25, 2017
- Last updated
- Nov 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS39325 | FL | Primary |
Addresses
Primary practice location
444 Monument Rd
Jacksonville, FL 32225-6429
Mailing address
14623 Millhopper Rd
Jacksonville, FL 32258-3149
Phone (904) 540-9905
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS39325 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511568000000",
"number": "1558875823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14623 MILLHOPPER RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322583149",
"telephone_number": "904-540-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONUMENT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256429",
"telephone_number": "904-722-8573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTINANDA",
"first_name": "KAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-25",
"last_updated": "2017-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.