Individual provider Active NPI

Jonathan Chheuy

  • Pharmacist
  • Murrieta, CA
National Provider Identifier
1891214219
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77007 Issued in CA
Practice address
23801 Washington Ave
Murrieta, CA 92562-2264
Phone
(951) 600-8639
NPI assigned
Sep 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77007 CA Primary

Addresses

Primary practice location

23801 Washington Ave
Murrieta, CA 92562-2264

Mailing address

4330 Driving Range Rd
Corona, CA 92883-0688

Other practice location 1

1290 Hamner Ave
Norco, CA 92860-3117
Phone (951) 288-6472

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

LicenseStateTypeSpecialty
77007CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ralphs Grocery Company PastSince Dec 22, 2019 Accepting new patients
Ralphs Grocery Company PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1891214219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 DRIVING RANGE RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 WASHINGTON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622264",
            "telephone_number": "951-600-8639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Hamner Ave",
            "address_purpose": "LOCATION",
            "city": "Norco",
            "state": "CA",
            "postal_code": "928603117",
            "country_code": "US",
            "telephone_number": "951-288-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHEUY",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.