Individual provider Active NPI

John Steven Yaskanich Jr., RPH

  • Pharmacist
  • Shiprock, NM
National Provider Identifier
1780856773
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03311655 Issued in OH
Practice address
160 N Hwy 491
Northern Navajo Medical Center Outpatient Pharmacy
Shiprock, NM 87420-0160
Phone
(970) 570-6867
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03311655 OH Primary

Addresses

Primary practice location

160 N Hwy 491
Northern Navajo Medical Center Outpatient Pharmacy
Shiprock, NM 87420-0160

Mailing address

2227 Tucker Lane
Cortez, CO 81321-2600
Phone (970) 570-6867

Other names 1

  • Mr. John Steven Yaskanich Jr. Other name

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
03311655OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1780856773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 TUCKER LANE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212600",
            "telephone_number": "970-570-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N HWY 491",
            "address_2": "NORTHERN NAVAJO MEDICAL CENTER OUTPATIENT PHARMACY",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "970-570-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASKANICH",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03311655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "YASKANICH",
            "middle_name": "STEVEN",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.