Individual provider Active NPI

John Chakan, PHARM D

  • Pharmacist
  • Wilkes Barre, PA
National Provider Identifier
1871880476
Registry record updated Jul 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP445619 Issued in PA
Practice address
170 Iroquois Ave
Wilkes Barre, PA 18702-7809
Phone
(570) 954-1999
NPI assigned
Jul 2, 2011
Last updated
Jul 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP445619 PA Primary

Addresses

Primary practice location

170 Iroquois Ave
Wilkes Barre, PA 18702-7809

Mailing address

170 Iroquois Ave
Wilkes Barre, PA 18702-7809
Phone (570) 954-1999

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

LicenseStateTypeSpecialty
RP445619PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309564800000",
    "number": "1871880476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 IROQUOIS AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027809",
            "telephone_number": "570-954-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 IROQUOIS AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027809",
            "telephone_number": "570-954-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKAN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-02",
        "last_updated": "2011-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.