Organization Active NPI

Medicine Chest Institutional Pharmacy LLC

  • Long Term Care Pharmacy
  • Sulphur Springs, TX
National Provider Identifier
1194714584
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
22484 Issued in TX
Legal business name
MEDICINE CHEST INSTITUTIONAL PHARMACY LLC
Practice address
411 Main St Ste 2
Sulphur Springs, TX 75482-2762
Phone
(877) 438-0770
Fax
(877) 438-0827
NPI assigned
Oct 18, 2005
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Chad Michel
Title
Ceo
Phone
(903) 630-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 22484 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

411 Main St Ste 2
Sulphur Springs, TX 75482-2762

Mailing address

3160 Park Center Dr
Tyler, TX 75701-8482
Phone (903) 630-6000

Other identifiers 2

IdentifierTypeStateIssuer
321067MedicaidTX
2098340OtherPK

Other names 1

  • M Chest Pharmacy-Sulphur Springs Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203001717 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9032523048 Practice locations: Sulphur Springs, TX

National Provider Directory

National Provider Directory

Locations

411 Main St
Ste 2
Sulphur Springs, TX 75482
Phone (877) 438-0770

815 S Broadway Ave
Tyler, TX 75701

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1194714584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 PARK CENTER DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018482",
            "telephone_number": "903-630-6000",
            "fax_number": "903-594-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST STE 2",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822762",
            "telephone_number": "877-438-0770",
            "fax_number": "877-438-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CHEST INSTITUTIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-630-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "22484",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321067",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Chest Pharmacy-Sulphur Springs",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "M Chest Pharmacy-Sulphur Springs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.