Individual provider Active NPI

David Kanak, RPH

  • Pharmacist
  • Chico, CA
National Provider Identifier
1689082190
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32432 Issued in CA
Practice address
2044 Forest Ave
Chico, CA 95928-7619
Phone
(530) 899-8650
Fax
(530) 899-8507
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32432 CA Primary

Addresses

Primary practice location

2044 Forest Ave
Chico, CA 95928-7619

Mailing address

2044 Forest Ave
Chico, CA 95928-7619
Phone (530) 895-8650

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1689082190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287619",
            "telephone_number": "530-895-8650",
            "fax_number": "530-895-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287619",
            "telephone_number": "530-899-8650",
            "fax_number": "530-899-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAK",
        "first_name": "DAVID",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "32432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.