Active NPI
Chapman Pharmacy Inc
- Pharmacy
- Rusk, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 04510
- Legal business name
- CHAPMAN PHARMACY INC
- Doing business as
- Chapman Pharmacy
- Practice address
- 1396 N Dickinson Dr
Rusk, TX 75785-1048 - Phone
- (903) 683-2422
- Fax
- (903) 683-2235
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Monte James Ethington, PHARMACIST
- Title
- President
- Phone
- (903) 683-2422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 04510 | TX | Primary |
Addresses
Primary practice location
1396 N Dickinson Dr
Rusk, TX 75785-1048
Mailing address
1396 N Dickinson Dr
Rusk, TX 75785-1048
Phone (903) 683-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148132 | Medicaid | TX |
Other names 1
- Chapman Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101116001007 | TX | DME Supplier - Pharmacy | 7517152598 | Practice locations: Rusk, TX |
| O20200917001320 | TX | Part B Supplier - Independent Clinical Laboratory | 7517152598 | Practice locations: Rusk, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2185429 | Chapman Pharmacy, Inc | Certificate of waiver | Jun 2, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Chapman Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Walkers|Penile Pumps|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Chapman Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Rusk, TX
- NPI 1235267998
Locations
1396 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-2422
108 E 5th St
Rusk, TX 75785
Phone (903) 683-2422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rusk, TX
- NPI 1942896246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1326140773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1396 N DICKINSON DR",
"city": "RUSK",
"state": "TX",
"postal_code": "757851048",
"telephone_number": "903-683-2422",
"fax_number": "903-683-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 N DICKINSON DR",
"city": "RUSK",
"state": "TX",
"postal_code": "757851048",
"telephone_number": "903-683-2422",
"fax_number": "903-683-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAPMAN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "ETHINGTON",
"authorized_official_first_name": "MONTE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-683-2422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "04510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148132",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chapman 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 May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.