Active NPI
Hector Chacin
- Pharmacist
- Coral Gables, FL
National Provider Identifier
1790381804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29568
- Practice address
- 4801 SW 8TH St
Coral Gables, FL 33134-2522 - Phone
- (305) 446-4641
- Fax
- (305) 446-7537
- NPI assigned
- Dec 5, 2020
- Sex
- Male
- 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 | PS29568 | FL | Primary |
Addresses
Primary practice location
4801 SW 8TH St
Coral Gables, FL 33134-2522
Mailing address
4801 SW 8TH St
Coral Gables, FL 33134-2522
Phone (305) 446-4641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS29568 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1790381804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 SW 8TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342522",
"telephone_number": "305-446-4641",
"fax_number": "305-446-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 SW 8TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342522",
"telephone_number": "305-446-4641",
"fax_number": "305-446-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACIN",
"first_name": "HECTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.