Organization Active NPI

Chapman Pharmacy Inc

  • Pharmacy
  • Rusk, TX
National Provider Identifier
1326140773
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
04510 Issued in TX
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

Updated by the provider on May 17, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148132MedicaidTX

Other names 1

  • Chapman Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101116001007 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7517152598 Practice locations: Rusk, TX
O20200917001320 TX Part B Supplier - Independent Clinical Laboratory 7517152598 Practice locations: Rusk, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2185429Chapman Pharmacy, Inc1396 N Dickinson Drive, Rusk, TX 75785Certificate of waiverJun 2, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Chapman Pharmacy Inc.1396 N Dickinson Dr, Rusk, TX 75785-1048(903) 683-2422 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 assignmentParticipating since Jan 22, 2002

National Provider Directory

National Provider Directory
Tax ID family
Chapman Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.