NPIMap

Organization Active NPI

Hampton Apothecary LP

Doing business as ReNue Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1104279819
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30928 Issued in TX
Legal business name
HAMPTON APOTHECARY LP
Doing business as
ReNue Pharmacy
ReNue RX #2
Practice address
2701 S Hampton Rd Ste 100
Dallas, TX 75224-2368
Phone
(972) 707-8248
Fax
(972) 707-8249
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. Raj Milan Chhadua, PHARMDNPI 1316273956
Title
Owner/Managing Partner
Phone
(214) 422-2598

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30928 TX Primary

Addresses

Primary practice location

2701 S Hampton Rd Ste 100
Dallas, TX 75224-2368

Mailing address

PO Box 2735
Frisco, TX 75034-0051
Phone (972) 707-8248

Other identifiers 2

IdentifierTypeStateIssuer
2162178OtherPK
30928OtherTXTEXAS STATE BOARD OF PHARMACY

Other names 3

  • ReNue Pharmacy Doing business as
  • ReNue RX #2 Doing business as
  • Hampton Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518000705 TX Part B Supplier - Pharmacy 0547536682 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1104279819",
    "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",
            "telephone_number": "972-707-8248",
            "fax_number": "972-707-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242368",
            "telephone_number": "972-707-8248",
            "fax_number": "972-707-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON APOTHECARY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CHHADUA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "214-422-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "30928",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReNue RX #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hampton Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.