Organization Active NPI

Chapel Hill Pharmacy LTD

  • Community/Retail Pharmacy
  • Tyler, TX
National Provider Identifier
1174637169
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22744 Issued in TX
Legal business name
CHAPEL HILL PHARMACY LTD
Doing business as
Chapel Hill Pharmacy LTD
Practice address
12445 Hwy 64 E
Tyler, TX 75707-5327
Phone
(903) 566-0326
Fax
(903) 566-0443
NPI assigned
Aug 18, 2006
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Gary Easterling, RPH
Title
Owner
Phone
(903) 566-0326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 22744 TX Primary

Addresses

Primary practice location

12445 Hwy 64 E
Tyler, TX 75707-5327

Mailing address

12445 Hwy 64 E
Tyler, TX 75707-5327
Phone (903) 566-0326

Other identifiers 2

IdentifierTypeStateIssuer
145315MedicaidTX
2099066OtherPK

Other names 1

  • CHAPEL HILL PHARMACY LTD Doing business as

National Provider Directory

National Provider Directory

Locations

12445 Highway 64 E
Tyler, TX 75707
Phone (903) 566-0326

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1174637169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12445 HWY 64 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757075327",
            "telephone_number": "903-566-0326",
            "fax_number": "903-566-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 HWY 64 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757075327",
            "telephone_number": "903-566-0326",
            "fax_number": "903-566-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-566-0326",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAPEL HILL PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.