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1942854146 NPI number — CHRIS J DEGES RPH

NPI Number: 1942854146
Health Care Provider/Practitioner: CHRIS J DEGES RPH

Information about “1942854146” NPI (CHRIS J DEGES RPH) exists in 1942854146 in HTML format HTML  |  1942854146 in plain Text format TXT  |  1942854146 in PDF (Portable Document Format) PDF  |  1942854146 in an XML format XML  formats.

NPI Number : 1942854146 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942854146",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEGES",
    "FirstName": "CHRIS",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15911 FM 1954",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA FALLS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76310-0376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "940-613-1942",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 N WASHINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEYMOUR",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76380-2556",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-889-3622",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2019",
    "LastUpdateDate": "07/26/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "11514",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "34334",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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