Organization Active NPI

Chapman Pharmacy Inc

  • Long Term Care Pharmacy
  • Rusk, TX
National Provider Identifier
1235267998
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
22708 Issued in TX
Legal business name
CHAPMAN PHARMACY INC
Doing business as
CHEROKEE PHARMACY
Practice address
181 S Main St
Rusk, TX 75785-1325
Phone
(903) 683-5986
Fax
(903) 683-1195
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Monte Ethington, RPH
Title
Pharmacist and President
Phone
(903) 683-2422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 22708 TX Primary

Addresses

Primary practice location

181 S Main St
Rusk, TX 75785-1325

Mailing address

181 S Main St
Rusk, TX 75785-1325
Phone (903) 683-5986

Other identifiers 2

IdentifierTypeStateIssuer
4529523OtherNCPDP PROVIDER IDENTIFICATION NUMBER
350193MedicaidTX

Other names 1

  • CHEROKEE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chapman Pharmacy2 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

181 S Main St
Rusk, TX 75785
Phone (903) 683-5986

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1235267998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S MAIN ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851325",
            "telephone_number": "903-683-5986",
            "fax_number": "903-683-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S MAIN ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851325",
            "telephone_number": "903-683-5986",
            "fax_number": "903-683-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "ETHINGTON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "PHARMACIST AND PRESIDENT",
        "authorized_official_telephone_number": "903-683-2422",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "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": "22708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4529523",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350193",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEROKEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.