NPIMap

Organization Active NPI

Chancy Drugs Hahira LLC

Doing business as Chancy Drugs

  • Community/Retail Pharmacy
  • Hahira, GA
National Provider Identifier
1144308552
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE003128 Issued in GA
Legal business name
CHANCY DRUGS HAHIRA LLC
Doing business as
Chancy Drugs
Practice address
205 E Main St
Hahira, GA 31632-1121
Phone
(229) 794-2750
Fax
(229) 794-4092
NPI assigned
Nov 2, 2006
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Beth RountreeNPI 1639389224
Title
Pharmacist in Charge
Phone
(229) 794-2750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE003128 GA Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

205 E Main St
Hahira, GA 31632-1121

Mailing address

205 E Main St
Hahira, GA 31632-1121
Phone (229) 794-2750

Other names 1

  • CHANCY DRUGS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000187 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8921280280 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hahira, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chancy Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 E Main St
Hahira, GA 31632
Phone (229) 794-2750

Practitioners & affiliated clinicians

Practitioners 1

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1144308552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321121",
            "telephone_number": "229-794-2750",
            "fax_number": "229-794-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321121",
            "telephone_number": "229-794-2750",
            "fax_number": "229-794-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCY DRUGS HAHIRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "229-794-2750"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003128",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANCY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hahira, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.