Individual provider Active NPI

Chancellor Thomas Charette, PHARM.D., RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Diego, CA
National Provider Identifier
1801238027
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
76369 Issued in CA
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

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03232555OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ralphs Grocery Company PastSince Oct 13, 2019 Accepting new patients
Ralphs Grocery Company PastSince Oct 13, 2019 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

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.

Verify at the official NPI Registry.