NPIMap

Organization Active NPI

Denton Apothecary, LP

  • Community/Retail Pharmacy
  • Denton, TX
National Provider Identifier
1639795289
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DENTON APOTHECARY, LP
Practice address
306 N Loop 288 Ste 210
Denton, TX 76209-4887
Phone
(111) 111-1111
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Raj Milan ChhaduaNPI 1316273956
Title
Managing Partner
Phone
(214) 422-2598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

306 N Loop 288 Ste 210
Denton, TX 76209-4887

Mailing address

PO Box 2735
Frisco, TX 75034-0051
Phone (469) 294-2001

Other names 2

  • ReNue Rx #1- TELP Doing business as
  • ReNue Rx #11 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201013001048 TX Part B Supplier - Pharmacy 2567882541 Practice locations: Denton, TX
O20210201001605 TX Part B Supplier - Independent Clinical Laboratory 2567882541 Practice locations: Denton, TX

National Provider Directory

National Provider Directory
Tax ID family
Denton Apothecary LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

306 N Loop 288
Ste 210
Denton, TX 76209
Phone (940) 277-2499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1639795289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051",
            "telephone_number": "469-294-2001",
            "fax_number": "469-888-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N LOOP 288 STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094887",
            "telephone_number": "111-111-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON APOTHECARY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "CHHADUA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-422-2598"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNue Rx #1- TELP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReNue Rx #11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.

Verify at the official NPI Registry.