Individual provider Active NPI

Chana R Hershkop, PHARMD, BCGP

  • Geriatric Pharmacist
  • Wynnewood, PA
National Provider Identifier
1801165238
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
050481 Issued in NY
Practice address
1 Wiltshire Rd
Wynnewood, PA 19096-3636
Phone
(917) 650-1284
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP449285 PA
Geriatric Pharmacist 1835G0303X 050481 NY Primary

Addresses

Primary practice location

1 Wiltshire Rd
Wynnewood, PA 19096-3636

Mailing address

1 Wiltshire Rd
Wynnewood, PA 19096-3636
Phone (917) 650-1284

Other practice location 1

742 Montgomery St
#2d
Brooklyn, NY 11213-5156
Phone (718) 804-0613

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
050481NYMDGeriatric Pharmacist
RP449285PAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1801165238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILTSHIRE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963636",
            "telephone_number": "917-650-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILTSHIRE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963636",
            "telephone_number": "917-650-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Montgomery St",
            "address_2": "#2d",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112135156",
            "country_code": "US",
            "telephone_number": "718-804-0613",
            "fax_number": "718-701-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHKOP",
        "first_name": "CHANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP449285",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "050481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.