Organization Active NPI

Chelsea Family Pharmacy, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Chelsea, OK
National Provider Identifier
1629086509
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHELSEA FAMILY PHARMACY, PLLC
Practice address
600 Walnut St.
Chelsea, OK 74016
Phone
(918) 789-2241
Fax
(918) 789-3705
NPI assigned
Aug 4, 2006
Organization subpart
Yes
Parent organization
CHELSEA FAMILY PHARMACY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Chad Alan Jones, PHARM.D.
Title
President
Phone
(918) 789-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

600 Walnut St.
Chelsea, OK 74016

Mailing address

600 Walnut St.
Chelsea, OK 74016
Phone (918) 789-2241

Other identifiers 2

IdentifierTypeStateIssuer
OKB6015OtherOKPTAN
200006070BMedicaidOK

Other names 1

  • Chelsea Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Chelsea Family Pharmacy PLLC

Locations

600 Walnut St
Chelsea, OK 74016
Phone (918) 789-2241

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1629086509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WALNUT ST.",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "74016",
            "telephone_number": "918-789-2241",
            "fax_number": "918-789-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WALNUT ST.",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "74016",
            "telephone_number": "918-789-2241",
            "fax_number": "918-789-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA FAMILY PHARMACY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHELSEA FAMILY PHARMACY, PLLC",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-789-2241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OKB6015",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006070B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.