Medicine Chest Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MEDICINE CHEST PHARMACY LLC

Practice address

814 Montgomery Road
Graham, TX 76450

Phone

(940) 549-8360

Fax

(940) 549-8361

NPI assigned

Apr 16, 2007

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roseanna Lou Bowden, RPHNPI 1356477871

Title

Managing Member

Phone

(940) 549-8360

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Roseanna L Bowden D/B/A Medicine Chest Pharmacy Former legal business name

Locations

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.

• Roseanna Lou Bowden, RPH TEXAS 23029

  • Pharmacist
  • Graham, TX
  • NPI 1356477871
  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1306061189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MONTGOMERY ROAD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "76450",
            "telephone_number": "940-549-8360",
            "fax_number": "940-549-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MONTGOMERY ROAD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "76450",
            "telephone_number": "940-549-8360",
            "fax_number": "940-549-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CHEST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "ROSEANNA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-549-8360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseanna L Bowden D/B/A Medicine Chest Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William P Martin, MD
• Jared Hayden Mataska, M.D.
• Kelly Matlock, M.D.
• Teresa McGuinness, FNP-C
• Med Care Medical of N. TX, Inc.
• Brandi Goble Menard, LPC
• Michael Castillo MD PA
• Misty Mills
• Mineral Wells Medical Supply, Inc. (Graham Medical Supply)
• Marisa Brooke Miracle, M.S., CCC-SLP

• Pharmacist in Graham, TX
• Providers in Graham, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.