Organization Active NPI

Chandler Drug LLC

  • Community/Retail Pharmacy
  • Chandler, TX
National Provider Identifier
1649363318
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27858 Issued in TX
Legal business name
CHANDLER DRUG LLC
Doing business as
Chandler Drug, LLC
Practice address
201 State Highway 31 E
Chandler, TX 75758-2378
Phone
(903) 849-6442
Fax
(903) 849-5627
NPI assigned
Oct 2, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Laura Jill McGill
Title
Owner
Phone
(903) 849-6442

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27858 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

201 State Highway 31 E
Chandler, TX 75758-2378

Mailing address

PO Box 400
Chandler, TX 75758-0400
Phone (903) 849-6442

Other identifiers 2

IdentifierTypeStateIssuer
146584MedicaidTX
2133321OtherPK

Other names 1

  • Chandler Drug, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000219 TX Part B Supplier - Pharmacy 9830358381 Practice locations: Chandler, TX

National Provider Directory

National Provider Directory

Locations

201 State Highway 31 E
Chandler, TX 75758
Phone (903) 849-6442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1649363318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "757580400",
            "telephone_number": "903-849-6442",
            "fax_number": "903-849-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE HIGHWAY 31 E",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "757582378",
            "telephone_number": "903-849-6442",
            "fax_number": "903-849-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "LAURA JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-849-6442"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27858",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146584",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Drug, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.