Healthcare Provider Details

I. General information

NPI: 1295042786
Provider Name (Legal Business Name): JAMES NICHOLAS CHASLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 HOWLEY ST
PITTSBURGH PA
15224-1509
US

IV. Provider business mailing address

2160 GREENTREE RD 702W
PITTSBURGH PA
15220-1407
US

V. Phone/Fax

Practice location:
  • Phone: 412-621-9987
  • Fax:
Mailing address:
  • Phone: 412-352-5546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP028280L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPO28280L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: