Individual provider Active NPI

Jana Frances Kochanny, RPH

  • Pharmacist
  • Cadillac, MI
National Provider Identifier
1679857866
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302031482 Issued in MI
Practice address
602 S Mitchell St
Cadillac, MI 49601-2510
Phone
(231) 775-6383
Fax
(231) 775-6546
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302031482 MI Primary

Addresses

Primary practice location

602 S Mitchell St
Cadillac, MI 49601-2510

Mailing address

23297 Mackinaw TRL
Tustin, MI 49688-8307
Phone (231) 775-6383

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302031482MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prevos Family Markets LLC Past Accepting new patients

Organizations & group practices 1

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1679857866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23297 MACKINAW TRL",
            "city": "TUSTIN",
            "state": "MI",
            "postal_code": "496888307",
            "telephone_number": "231-775-6383",
            "fax_number": "231-775-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012510",
            "telephone_number": "231-775-6383",
            "fax_number": "231-775-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHANNY",
        "first_name": "JANA",
        "middle_name": "FRANCES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.