Active NPI
Chase Robertson, PHARMD
- Pharmacist
- Lebanon, IN
National Provider Identifier
1972237832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029772A
- Practice address
- 112 N Lebanon St
Lebanon, IN 46052-2151 - Phone
- (765) 482-0180
- Fax
- (765) 482-1860
- NPI assigned
- Jul 14, 2022
- Last updated
- Jul 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26029772A | IN | Primary |
Addresses
Primary practice location
112 N Lebanon St
Lebanon, IN 46052-2151
Mailing address
112 N Lebanon St
Lebanon, IN 46052-2151
Phone (765) 482-0180
Other practice location 1
1639 N Lebanon St
Lebanon, IN 46052-1590
Phone (765) 482-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26029772A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowan Drugs Inc | Past | Accepting new patients | |
| Cowan Drugs Inc | Past | Accepting new patients | |
| Cowan Drugs Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1972237832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522151",
"telephone_number": "765-482-0180",
"fax_number": "765-482-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522151",
"telephone_number": "765-482-0180",
"fax_number": "765-482-1860"
}
],
"practiceLocations": [
{
"address_1": "1639 N Lebanon St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "IN",
"postal_code": "460521590",
"country_code": "US",
"telephone_number": "765-482-1600",
"fax_number": "765-482-4561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "CHASE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029772A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.