NPIMap

Organization Active NPI

Chaney Family Pharmacy, LLC

  • Long Term Care Pharmacy
  • Colorado City, TX
National Provider Identifier
1225568744
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
29470 Issued in TX
Legal business name
CHANEY FAMILY PHARMACY, LLC
Practice address
1001 Hickory St
Colorado City, TX 79512-5213
Phone
(325) 728-8030
Fax
(325) 728-2486
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Jody Chaney
Title
Pic/Owner
Phone
(325) 242-0345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 29470 TX Primary

Addresses

Primary practice location

1001 Hickory St
Colorado City, TX 79512-5213

Mailing address

PO Box 1267
Colorado City, TX 79512-1267
Phone (325) 728-8030

Other identifiers 2

IdentifierTypeStateIssuer
2169364OtherPK
147026MedicaidTX

Other names 1

  • Corner Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chaney Family Pharmacy LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1225568744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795121267",
            "telephone_number": "325-728-8030",
            "fax_number": "325-728-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HICKORY ST",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795125213",
            "telephone_number": "325-728-8030",
            "fax_number": "325-728-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANEY FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "325-242-0345"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "29470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.