Individual provider Active NPI

Paul Kibet Chemwor, RPH

  • Pharmacist
  • Austell, GA
National Provider Identifier
1841894375
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH021488 Issued in GA
Practice address
800 E West Connector
Austell, GA 30106-1358
Phone
(770) 438-1680
Fax
(770) 438-1681
NPI assigned
Nov 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH021488 GA Primary

Addresses

Primary practice location

800 E West Connector
Austell, GA 30106-1358

Mailing address

5717 Crystal Springs Way
Powder Springs, GA 30127-4797
Phone (678) 849-5924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rx04522@cvscaremark.com Direct

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
RPH021488GAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rx04522@cvscaremark.com

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1841894375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 CRYSTAL SPRINGS WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274797",
            "telephone_number": "678-849-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WEST CONNECTOR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061358",
            "telephone_number": "770-438-1680",
            "fax_number": "770-438-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMWOR",
        "first_name": "PAUL",
        "middle_name": "KIBET",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rx04522@cvscaremark.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Store email",
            "address_1": "800 E West Connector",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301061358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.