Individual provider Active NPI

Jolene Chapp, R.PH.

  • Pharmacist
  • Apple Valley, MN
National Provider Identifier
1821384850
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118211 Issued in MN
Practice address
15150 Cedar Ave
T0643
Apple Valley, MN 55124-7056
Phone
(952) 891-5515
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118211 MN Primary
Pharmacist 183500000X 12861-40 WI

Addresses

Primary practice location

15150 Cedar Ave
T0643
Apple Valley, MN 55124-7056

Mailing address

15150 Cedar Ave
T0643
Apple Valley, MN 55124-7056
Phone (952) 891-5515

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
118211MNMDPharmacist
12861-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1821384850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 CEDAR AVE",
            "address_2": "T0643",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247056",
            "telephone_number": "952-891-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 CEDAR AVE",
            "address_2": "T0643",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247056",
            "telephone_number": "952-891-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPP",
        "first_name": "JOLENE",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118211",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12861-40",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.