Active NPI
Chancy Drugs Inc
- Durable Medical Equipment & Medical Supplies
- Hahira, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHRE003128
- Legal business name
- CHANCY DRUGS INC
- Practice address
- 205 E Main St
Hahira, GA 31632-1121 - Phone
- (229) 794-2750
- NPI assigned
- Jun 5, 2007
- Last updated
- Jun 8, 2015
- 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
- Mrs. Tina W Chancy
- Title
- RPH
- Phone
- (229) 794-2750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE003128 | GA | Primary |
Addresses
Primary practice location
205 E Main St
Hahira, GA 31632-1121
Mailing address
205 E Main St
Hahira, GA 31632-1121
Phone (229) 794-2750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00023053A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091525 | GA | DME Supplier - Pharmacy | 0648247551 | Practice locations: Hahira, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Chancy Discount Drugs
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Hahira, GA
- NPI 1407898935
-
- Pharmacist
- Adel, GA
- NPI 1265437768
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.
-
- Pharmacist
- Hahira, GA
- NPI 1871702522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433721600000",
"number": "1386846731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316321121",
"telephone_number": "229-794-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316321121",
"telephone_number": "229-794-2750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANCY DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2015-06-08",
"status": "A",
"authorized_official_last_name": "CHANCY",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "229-794-2750",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "PHRE003128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00023053A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hahira, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.