Chichesters Ingleside

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE000280 Issued in GA

Legal business name

CHICHESTERS INGLESIDE

Doing business as

Chichesters Ingleside

Practice address

3051 Vineville Ave
Macon, GA 31204-2460

Phone

(478) 746-9608

Fax

(478) 742-6437

NPI assigned

Mar 5, 2007

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Wright

Title

Owner

Phone

(478) 746-9608

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CHICHESTERS INGLESIDE Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1760511547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-746-9608",
            "fax_number": "478-742-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-746-9608",
            "fax_number": "478-742-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICHESTERS INGLESIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-746-9608"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023207A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1111638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICHESTERS INGLESIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Cheshire, NP
• June P. Chester, RN, BSN, CRNFA
• Summer Dix Chester
• Jacqueline Rose Chestnut, RD
• Jason M Cheyney, PA C
• Children's Neurology Ctr Macon, LLC
• Debbie Jean Childress, MA, CADC II
• Kazumi Chino, M.D.
• Chiro-Med Care of Georgia PC
• Chiromed Care of Stockbridge LLC

• Community/Retail Pharmacy in Macon, GA
• Providers in Macon, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.