NPIMap

Organization Active NPI

CHB Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1588068860
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29590 Issued in TX
Legal business name
CHB PHARMACY
Practice address
14211 Coit Rd
Dallas, TX 75254-2862
Phone
(972) 661-1293
Fax
(972) 661-1298
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Dr. Ike C Egbuchunam, PHARMD
Title
Pharmacy Director
Phone
(972) 661-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29590 TX Primary

Addresses

Primary practice location

14211 Coit Rd
Dallas, TX 75254-2862

Mailing address

14211 Coit Rd
Dallas, TX 75254-2862
Phone (972) 661-1293

Other identifiers 1

IdentifierTypeStateIssuer
29590OtherTXPHARMACY LICENSE

Other names 1

  • CHB Pharmacy Care Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1588068860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14211 COIT RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542862",
            "telephone_number": "972-661-1293",
            "fax_number": "972-661-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 COIT RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542862",
            "telephone_number": "972-661-1293",
            "fax_number": "972-661-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "EGBUCHUNAM",
        "authorized_official_first_name": "IKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "972-661-1293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "29590",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHB Pharmacy Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.