Active NPI
Stevelyn Christa Chisick
- Pharmacist
- Lynn, MA
National Provider Identifier
1871189050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH18107
- Practice address
- 270 Union St
Lynn, MA 01901-1348 - Phone
- (781) 584-1129
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH18107 | MA | Primary |
Addresses
Primary practice location
270 Union St
Lynn, MA 01901-1348
Mailing address
66 Bacon St
Natick, MA 01760-2903
Phone (508) 647-6909
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 |
|---|---|---|---|
| PH18107 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1871189050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BACON ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017602903",
"telephone_number": "508-647-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011348",
"telephone_number": "781-584-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISICK",
"first_name": "STEVELYN",
"middle_name": "CHRISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH18107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.