Active NPI
Stephanie Chassagne, PHARMD
- Pharmacist
- North Palm Beach, FL
National Provider Identifier
1649874843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57225
- Practice address
- 11586 US Highway 1
North Palm Beach, FL 33408-3019 - Phone
- (561) 633-5725
- NPI assigned
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PS57225 | FL | Primary |
Addresses
Primary practice location
11586 US Highway 1
North Palm Beach, FL 33408-3019
Mailing address
700 Via Lugano Cir Apt 201
Boynton Beach, FL 33436-7175
Other practice location 1
11586 US Highway 1
North Palm Beach, FL 33408-3019
Phone (561) 622-0702
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 |
|---|---|---|---|
| PS57225 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1649874843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 VIA LUGANO CIR APT 201",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11586 US HIGHWAY 1",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083019",
"telephone_number": "561-633-5725"
}
],
"practiceLocations": [
{
"address_1": "11586 US Highway 1",
"address_purpose": "LOCATION",
"city": "North Palm Beach",
"state": "FL",
"postal_code": "334083019",
"country_code": "US",
"telephone_number": "561-622-0702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASSAGNE",
"first_name": "STEPHANIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.