Individual provider Active NPI

Chesnel Jean-Mary, RPH

  • Pharmacist
  • Deland, FL
National Provider Identifier
1871661363
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS29123 Issued in FL
Practice address
901 N Woodland Blvd
Deland, FL 32720-2734
Phone
(386) 734-5822
Fax
(386) 738-2783
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS29123 FL Primary

Addresses

Primary practice location

901 N Woodland Blvd
Deland, FL 32720-2734

Mailing address

1874 Marysville Dr
Deltona, FL 32725-6607
Phone (386) 956-5386

Other practice location 1

1874 Marysville Dr
Deltona, FL 32725-6607
Phone (386) 574-2562

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
PS29123FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1871661363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 MARYSVILLE DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327256607",
            "telephone_number": "386-956-5386",
            "fax_number": "386-574-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202734",
            "telephone_number": "386-734-5822",
            "fax_number": "386-738-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1874 Marysville Dr",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327256607",
            "country_code": "US",
            "telephone_number": "386-574-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-MARY",
        "first_name": "CHESNEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.