Active NPI
Michele Chantra, PHARM D
- Pharmacist
- Penfield, NY
National Provider Identifier
1649435520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049799
- Practice address
- 2155 Penfield Rd
Attn: Pharmacy Manager
Penfield, NY 14526-1742 - Phone
- (585) 248-3060
- Fax
- (585) 377-9612
- NPI assigned
- Jul 21, 2008
- Last updated
- Jan 4, 2022
- Sex
- Female
- 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 | 049799 | NY | Primary |
Addresses
Primary practice location
2155 Penfield Rd
Attn: Pharmacy Manager
Penfield, NY 14526-1742
Mailing address
2155 Penfield Rd
Attn: Pharmacy Manager
Penfield, NY 14526-1742
Phone (585) 248-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049799 | Other | NY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 049799 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | 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, 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": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1649435520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 PENFIELD RD",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261742",
"telephone_number": "585-248-3060",
"fax_number": "585-377-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 PENFIELD RD",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261742",
"telephone_number": "585-248-3060",
"fax_number": "585-377-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTRA",
"first_name": "MICHELE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "049799",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.