Chad Sims
Individual provider Active NPI Pharmacist · Vidor, TX
NPI 1497359582 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1497359582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 63398 (TX)
- Practice address
- 1295 N Main St
Vidor, TX 77662-3740 - Phone
- (409) 769-5423
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63398 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past |
Accepting new patients | |
| CVS Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63398 | TX | Yes |
Addresses
Primary practice location
1295 N Main St
Vidor, TX 77662-3740
Mailing address
1295 N Main St
Vidor, TX 77662-3740
Phone (409) 769-5423
Other providers in Vidor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.