Individual provider Active NPI

Jeanie Kinchen, R. PH.

  • Pharmacist
  • North Pole, AK
National Provider Identifier
1992006308
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1281 Issued in AK
Practice address
301 N Santa Claus LN
North Pole, AK 99705-6081
Phone
(907) 490-2760
Fax
(907) 490-2719
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1281 AK Primary

Addresses

Primary practice location

301 N Santa Claus LN
North Pole, AK 99705-6081

Mailing address

301 N Santa Claus LN
North Pole, AK 99705-6081
Phone (907) 490-2760

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1281AKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1992006308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056081",
            "telephone_number": "907-490-2760",
            "fax_number": "907-490-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056081",
            "telephone_number": "907-490-2760",
            "fax_number": "907-490-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHEN",
        "first_name": "JEANIE",
        "name_prefix": "Mrs.",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.