Active NPI
Chaney Family Pharmacy LLC
- Community/Retail Pharmacy
- Colorado City, TX
National Provider Identifier
1669557955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 29470
- Legal business name
- CHANEY FAMILY PHARMACY LLC
- Practice address
- 1001 Hickory St
Colorado City, TX 79512-5213 - Phone
- (325) 728-8030
- Fax
- (325) 728-2486
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody Chaney
- Title
- President
- Phone
- (325) 242-0345
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 29470 | TX | Primary |
Addresses
Primary practice location
1001 Hickory St
Colorado City, TX 79512-5213
Mailing address
PO Box 1267
Colorado City, TX 79512-1267
Phone (325) 728-8030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147026 | Medicaid | TX | |
| 2146324 | Other | PK |
Other names 1
- Corner Drug
National Provider Directory
National Provider DirectoryLocations
1001 Hickory St
Colorado City, TX 79512
Phone (325) 728-8030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1669557955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "COLORADO CITY",
"state": "TX",
"postal_code": "795121267",
"telephone_number": "325-728-8030",
"fax_number": "325-728-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HICKORY ST",
"city": "COLORADO CITY",
"state": "TX",
"postal_code": "795125213",
"telephone_number": "325-728-8030",
"fax_number": "325-728-2486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANEY FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "CHANEY",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "325-242-0345"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "29470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147026",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146324",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corner Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.