Active NPI
Jonathan Richard Chenoweth, PHARMD
- Student in an Organized Health Care Education/Training Program
- Tukwila, WA
National Provider Identifier
1861787020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IR00070070
- Practice address
- 12400 E Marginal Way S, Amb-2
Tukwila, WA 98168 - Phone
- (808) 258-2815
- NPI assigned
- Jun 16, 2011
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR00070070 | WA | Primary |
Addresses
Primary practice location
12400 E Marginal Way S, Amb-2
Tukwila, WA 98168
Mailing address
12400 E Marginal Way S, Amb-2
Tukwila, WA 98168
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IR00070070 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1861787020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 E MARGINAL WAY S, AMB-2",
"city": "TUKWILA",
"state": "WA",
"postal_code": "98168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 E MARGINAL WAY S, AMB-2",
"city": "TUKWILA",
"state": "WA",
"postal_code": "98168",
"telephone_number": "808-258-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENOWETH",
"first_name": "JONATHAN",
"middle_name": "RICHARD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR00070070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.