Organization Active NPI

Chapel Pharmacy Inc

  • Pharmacy
  • Pine Bluff, AR
National Provider Identifier
1275534513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20195 Issued in AR
Legal business name
CHAPEL PHARMACY INC
Practice address
3800 Camden Rd
Suite #1
Pine Bluff, AR 71603-8480
Phone
(870) 879-1490
Fax
(870) 879-1920
NPI assigned
Aug 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Stover, PHARM D.
Title
Owner
Phone
(870) 879-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X AR20195 AR Primary

Addresses

Primary practice location

3800 Camden Rd
Suite #1
Pine Bluff, AR 71603-8480

Mailing address

3800 Camden Rd
Suite #1
Pine Bluff, AR 71603-8480
Phone (870) 879-1490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101001148 AR Part B Supplier - Pharmacy 3870614035 Practice locations: Pine Bluff, AR

National Provider Directory

National Provider Directory

Locations

3800 Camden Rd
Ste 1
Pine Bluff, AR 71603
Phone (870) 879-1490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275534513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CAMDEN RD",
            "address_2": "SUITE #1",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038480",
            "telephone_number": "870-879-1490",
            "fax_number": "870-879-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CAMDEN RD",
            "address_2": "SUITE #1",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038480",
            "telephone_number": "870-879-1490",
            "fax_number": "870-879-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-879-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.