Organization Active NPI

Charlie'S Pharmacy Inc.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1215077474
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22441 Issued in TX
Legal business name
CHARLIE'S PHARMACY INC.
Practice address
9528 Webb Chapel Rd
Suite # 110
Dallas, TX 75220-4938
Phone
(214) 528-7133
Fax
(214) 528-7134
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Charles Marcellus LarbieNPI 1891835815
Title
Pharmacist in Charge
Phone
(214) 528-7133

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 22441 TX Primary

Addresses

Primary practice location

9528 Webb Chapel Rd
Suite # 110
Dallas, TX 75220-4938

Mailing address

9528 Webb Chapel Road
Suite # 110
Dallas, TX 75220-4938
Phone (214) 528-7133

Other identifiers 1

IdentifierTypeStateIssuer
145251MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Charlie'S Pharmacy DME2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1215077474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 WEBB CHAPEL ROAD",
            "address_2": "SUITE # 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204938",
            "telephone_number": "214-528-7133",
            "fax_number": "214-528-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 WEBB CHAPEL RD",
            "address_2": "SUITE # 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204938",
            "telephone_number": "214-528-7133",
            "fax_number": "214-528-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LARBIE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "214-528-7133"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145251",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2011; 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.