Tank Chesterfield LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

31922 Issued in TX

Legal business name

TANK CHESTERFIELD LLC

Doing business as

Chesterfield Pharmacy

Practice address

102 N Shiloh Rd Ste 305
Garland, TX 75042-6695

Phone

(972) 272-0840

Fax

(214) 594-9669

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Courtney Hicks Stegman, PHARM D

Title

Pic

Phone

(214) 395-2987

Specialties & licenses 1

Addresses

Other names 1

• Chesterfield Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1134626278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 VINTAGE OAKS CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314705",
            "telephone_number": "214-395-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N SHILOH RD STE 305",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426695",
            "telephone_number": "972-272-0840",
            "fax_number": "214-594-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANK CHESTERFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "STEGMAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "HICKS",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "214-395-2987",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "31922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Tam, D.D.S
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• Pharmacy in Garland, TX
• Providers in Garland, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.