Active NPI
Chancellor Thomas Charette, PHARM.D., RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Diego, CA
National Provider Identifier
1801238027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 76369
- Practice address
- 101 G St
San Diego, CA 92101-6833 - Phone
- (619) 237-7660
- Fax
- (619) 237-7670
- NPI assigned
- Jul 30, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76369 | CA | |
| Pharmacist | 183500000X | 03232555 | OH | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 76369 | CA | Primary |
Addresses
Primary practice location
101 G St
San Diego, CA 92101-6833
Mailing address
101 G St
San Diego, CA 92101-6833
Phone (619) 237-7660
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03232555 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 2
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": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1801238027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 G ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016833",
"telephone_number": "619-237-7660",
"fax_number": "619-237-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 G ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016833",
"telephone_number": "619-237-7660",
"fax_number": "619-237-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARETTE",
"first_name": "CHANCELLOR",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM.D., RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-30",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76369",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232555",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "76369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Nicole M Charara
- Stacy Charat, MD
- Patrick John Charbonneau, PA-C
- John F Chardos, MD
- Ammar Charestan, M.D.
- Jordan Danielle Charlebois
- Stephanie Charlebois, BCBA
- Neltada Charlemagne, PMHNP
- Charles D Schlesinger Dental Corporation (Black Mountain Family Dentistry)
- Charles Le M.D. Peace of Mind Alliances (Beautiful Mind Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.