NPI Code Detail JSON Logo

1881712404 NPI number — CHRONIC CARE INC

NPI Number: 1881712404
Health Care Provider/Practitioner: CHRONIC CARE INC

Information about “1881712404” NPI (CHRONIC CARE INC) exists in 1881712404 in HTML format HTML  |  1881712404 in plain Text format TXT  |  1881712404 in PDF (Portable Document Format) PDF  |  1881712404 in an XML format XML  formats.

NPI Number : 1881712404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881712404",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHRONIC CARE INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18011 MITCHELL S",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "IRVINE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92614-6863",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "844-295-4840",
    "MailingAddressFaxNumber": "844-295-4839",
    "FirstLinePracticeLocationAddress": "300 N LONE HILL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIMAS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91773-1741",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-295-4840",
    "PracticeLocationAddressFaxNumber": "844-295-4839",
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "09/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIPPENS",
    "AuthorizedOfficialFirstName": "PAMELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP STRATEGY  BUS DEV",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "978-208-5402",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "54355",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.