Chadwick Cabanero, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

E-101454 Issued in MS

Practice address

204 Highway 80 E
Clinton, MS 39056-4716

Phone

(601) 926-1179

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #05165

  • Pharmacy
  • Clinton, MS
  • NPI 1740295906
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1487400677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CYPRESS POND DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564716",
            "telephone_number": "601-926-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANERO",
        "first_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "E-101454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Butler, PMHNP-BC
• Yvette Fortner Butler, PCA
• Emma Claire Byers, OD
• Taylor M Byrd, DPT
• William Hudson Byrnes, ATC
• Cac Therapy Group, LLC
• Catherine E. Callender, L.C.S.W.
• Tara Cameron, PHARMD
• William Michael Campbell, DMD
• Fulivia Elma Cannady, MSCP,NCC,LPC

• Community/Retail Pharmacy in Clinton, MS
• Providers in Clinton, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.