Chakra Health LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PCY.0000741 Issued in CT

Legal business name

CHAKRA HEALTH LLC

Practice address

1043 North St
Greenwich, CT 06831-2701

Phone

(203) 869-2130

Fax

(203) 864-9227

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Sonali Costa

Title

Director of Pharmacy

Phone

(203) 869-2130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Street Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonali Chakraborti-Costa, RPH

  • Pharmacist
  • Norwalk, CT
  • NPI 1306166491
  NPD
• Nedjma Belaid

  • Pharmacist
  • Greenwich, CT
  • NPI 1417303744
  NPD (past)
• Ashley Meilin Fan

  • Pharmacist
  • Greenwich, CT
  • NPI 1649824178
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1982968608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 NORTH ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312701",
            "telephone_number": "203-869-2130",
            "fax_number": "203-864-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 NORTH ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312701",
            "telephone_number": "203-869-2130",
            "fax_number": "203-864-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAKRA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "SONALI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "203-869-2130"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "PCY.0000741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kathleen Cervantes, LCSW
• Jane Chan
• Yvonne Chan, LAC
• Monica Chandwani, PHARMD
• Jane Chang, PHARM.D.
• Robert S Chang, MD

• All providers in Greenwich, CT
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.