Active NPI
Kelent Chavez
- Pharmacy Technician
- Minot, ND
National Provider Identifier
1821684002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TECH1748
- Practice address
- 400 Burdick Expy E
Minot, ND 58701-4768 - Phone
- (701) 857-7900
- NPI assigned
- Dec 12, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TECH1748 | ND | Primary |
Addresses
Primary practice location
400 Burdick Expy E
Minot, ND 58701-4768
Mailing address
36 Dundee Dr Apt 2
Minot Afb, ND 58704-2003
Phone (512) 658-5727
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 |
|---|---|---|---|
| TECH1748 | ND | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1821684002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 DUNDEE DR APT 2",
"city": "MINOT AFB",
"state": "ND",
"postal_code": "587042003",
"telephone_number": "512-658-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BURDICK EXPY E",
"city": "MINOT",
"state": "ND",
"postal_code": "587014768",
"telephone_number": "701-857-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "KELENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-12",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ND",
"license": "TECH1748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.