Provider Demographics
NPI:1841182326
Name:CHAKOS, JASMIN ANN
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:ANN
Last Name:CHAKOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9942 SOUTHWYCK AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-9837
Mailing Address - Country:US
Mailing Address - Phone:330-531-0608
Mailing Address - Fax:
Practice Address - Street 1:9942 SOUTHWYCK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-9837
Practice Address - Country:US
Practice Address - Phone:330-531-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09223677183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician