Active NPI
Charles Nicholas Chesnutt Jr.
- Pharmacist
- Richlands, NC
National Provider Identifier
1942582564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09379
- Practice address
- 9005 Richlands Hwy
Richlands, NC 28574-6380 - Phone
- (910) 324-1656
- Fax
- (910) 324-2253
- NPI assigned
- Sep 10, 2011
- Last updated
- Dec 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09379 | NC | Primary |
| Pharmacist | 183500000X | 14004 | SC |
Addresses
Primary practice location
9005 Richlands Hwy
Richlands, NC 28574-6380
Mailing address
9005 Richlands Hwy
Richlands, NC 28574-6380
Phone (910) 324-1656
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 |
|---|---|---|---|
| 09379 | NC | MD | Pharmacist |
| 14004 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356134400000",
"number": "1942582564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9005 RICHLANDS HWY",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285746380",
"telephone_number": "910-324-1656",
"fax_number": "910-324-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9005 RICHLANDS HWY",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285746380",
"telephone_number": "910-324-1656",
"fax_number": "910-324-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESNUTT",
"first_name": "CHARLES",
"middle_name": "NICHOLAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-10",
"last_updated": "2012-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "09379",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richlands, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.