Active NPI
Dewayne Lloyd Chapman, RPH
- Pharmacist
- Mabank, TX
National Provider Identifier
1326087578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29128
- Practice address
- 207 N 3Rd St
Mabank, TX 75147-8610 - Phone
- (903) 887-3711
- Fax
- (903) 887-6674
- NPI assigned
- Jun 5, 2006
- Last updated
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29128 | TX | Primary |
Addresses
Primary practice location
207 N 3Rd St
Mabank, TX 75147-8610
Mailing address
PO Box 561
Mabank, TX 75147-0561
Phone (903) 887-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061013000382 | TX | Part B Supplier - Pharmacy | 9537165584 | Practice locations: Mabank, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29128 | TX | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1326087578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561",
"city": "MABANK",
"state": "TX",
"postal_code": "751470561",
"telephone_number": "903-887-3711",
"fax_number": "903-887-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N 3RD ST",
"city": "MABANK",
"state": "TX",
"postal_code": "751478610",
"telephone_number": "903-887-3711",
"fax_number": "903-887-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "DEWAYNE",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mabank, TX
- Blooming Cactus Therapy Services, PLLC
- Brookshire Grocery Company (Brookshire Pharmacy)
- Kyle Brandon Bundas, MSN, FNP-C
- Brittney Cantrell, CPT
- Craig Matthew Chapman, PHARMD
- Clayton a Gautreaux D.D.S
- Tabitha Colwell Hale, MS CCC-SLP
- Counseling Solutions
- Breanne Michelle Crow, MA LPC-A
- Misti Crowsey, BASE. QMHP,CC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.