NPIMap

Organization Active NPI

Sundance Apothecary, LP

  • Long Term Care Pharmacy
  • Fort Worth, TX
National Provider Identifier
1073382958
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SUNDANCE APOTHECARY, LP
Practice address
201 Commerce St Ste 201
Fort Worth, TX 76102-7206
Phone
(682) 285-1100
Fax
(682) 285-1103
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raj Milan ChhaduaNPI 1316273956
Title
Managing Partner
Phone
(682) 285-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

201 Commerce St Ste 201
Fort Worth, TX 76102-7206

Mailing address

PO Box 2735
Frisco, TX 75034-0051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1073382958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COMMERCE ST STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761027206",
            "telephone_number": "682-285-1100",
            "fax_number": "682-285-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE APOTHECARY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "CHHADUA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "682-285-1100"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.