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  7. NPI Record 1104809185

MS. NANCY CHAPMAN KASTNER BS
Complete NPI Record 1104809185
Pharmacist - Pharmacotherapy in Groton, CT

NPI Status: Active since November 23, 2005

Contact Information

1 WAHOO AVE BLDG 449
NAVAL AMBULATORY CARE CENTER ATTN: PROF. AFFAIRS
GROTON, CT
ZIP 06340
Phone: (860) 694-2377
Fax: (860) 694-2590

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider Other Last Name
  9. Provider Other First Name
  10. Provider Other Middle Name
  11. Provider Other Name Prefix Text
  12. Provider Other Credential Text
  13. Provider Other Last Name Type Code
  14. Provider First Line Business Mailing Address
  15. Provider Second Line Business Mailing Address
  16. Provider Business Mailing Address City Name
  17. Provider Business Mailing Address State Name
  18. Provider Business Mailing Address Postal Code
  19. Provider Business Mailing Address Country Code If outside U S
  20. Provider Business Mailing Address Telephone Number
  21. Provider Business Mailing Address Fax Number
  22. Provider First Line Business Practice Location Address
  23. Provider Second Line Business Practice Location Address
  24. Provider Business Practice Location Address City Name
  25. Provider Business Practice Location Address State Name
  26. Provider Business Practice Location Address Postal Code
  27. Provider Business Practice Location Address Country Code If outside U S
  28. Provider Business Practice Location Address Telephone Number
  29. Provider Business Practice Location Address Fax Number
  30. Provider Enumeration Date
  31. Last Update Date
  32. Provider Gender Code
  33. Healthcare Provider Taxonomy Code 1
  34. Provider License Number 1
  35. Provider License Number State Code 1
  36. Healthcare Provider Primary Taxonomy Switch 1
  37. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1104809185. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1104809185
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Name: NANCY
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Middle Name: CHAPMAN
The city name in the location address of the provider being identified.
Provider Name Prefix Text: MS.
The State code in the location of the provider being identified.
Provider Credential Text: BS
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Other Last Name: DUTKO
The country code in the location address of the provider being identified.
Provider Other First Name: NANCY
The telephone number associated with the location address of the provider being identified.
Provider Other Middle Name: LYNDA
The fax number associated with the location address of the provider being identified.
Provider Other Name Prefix Text: MS.
The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Other Credential Text: BS
The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name Type Code: 1
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 1 WAHOO AVE BLDG 449
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing Address: NAVAL AMBULATORY CARE CENTER ATTN: PROF. AFFAIRS
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: GROTON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CT
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 063402324
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8606942377
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8606942590
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 1 WAHOO AVE BLDG 449
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: NAVAL AMBULATORY CARE CENTER ATTN: PROF. AFFAIRS
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: GROTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CT
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 063402324
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8606942377
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8606942590
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/23/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/10/2008
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 1835P1200X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 5452
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: CT
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No