John Joseph Cernac, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

8407 Issued in CO

Practice address

1910 Santa Fe Dr
Pueblo, CO 81006-1452

Phone

(719) 542-2477

Fax

(719) 544-4469

NPI assigned

Oct 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John Joseph Cernac Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1851868160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SANTA FE DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061452",
            "telephone_number": "719-542-2477",
            "fax_number": "719-544-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SANTA FE DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061452",
            "telephone_number": "719-542-2477",
            "fax_number": "719-544-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNAC",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "8407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03094299",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CERNAC",
            "middle_name": "JOSEPH",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.