Active NPI
Daniel Chinchilla
- Pharmacist
- Victorville, CA
National Provider Identifier
1801354956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80344
- Practice address
- 12184 Palmdale Rd
Victorville, CA 92392-8538 - Phone
- (760) 561-7009
- NPI assigned
- Mar 7, 2019
- Last updated
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 80344 | CA | Primary |
Addresses
Primary practice location
12184 Palmdale Rd
Victorville, CA 92392-8538
Mailing address
12184 Palmdale Rd
Victorville, CA 92392-8538
Phone (760) 561-7009
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 |
|---|---|---|---|
| 80344 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1801354956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12184 PALMDALE RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923928538",
"telephone_number": "760-561-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12184 PALMDALE RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923928538",
"telephone_number": "760-561-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINCHILLA",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.