Organization Active NPI

Chalice Cynosure LLC

  • Durable Medical Equipment & Medical Supplies
  • College Station, TX
National Provider Identifier
1245095884
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHALICE CYNOSURE LLC
Practice address
414 Cold Spring Dr
College Station, TX 77845-1938
Phone
(737) 510-4650
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Rashida Noorani
Title
Ceo
Phone
(737) 510-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

414 Cold Spring Dr
College Station, TX 77845-1938

Mailing address

414 Cold Spring Dr
College Station, TX 77845-1938
Phone (737) 510-4650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1245095884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 COLD SPRING DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451938",
            "telephone_number": "737-510-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 COLD SPRING DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451938",
            "telephone_number": "737-510-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALICE CYNOSURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "NOORANI",
        "authorized_official_first_name": "RASHIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "737-510-4650"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.