Individual provider Active NPI

David Chambellan, RPH

  • Pharmacist
  • Silver City, NM
National Provider Identifier
1679940183
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00006211 Issued in NM
Practice address
2501 Highway 180 E
Silver City, NM 88061-7791
Phone
(575) 388-3113
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00006211 NM Primary

Addresses

Primary practice location

2501 Highway 180 E
Silver City, NM 88061-7791

Mailing address

2501 Highway 180 E
Silver City, NM 88061-7791
Phone (575) 388-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP00006211NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1679940183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HIGHWAY 180 E",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617791",
            "telephone_number": "575-388-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HIGHWAY 180 E",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617791",
            "telephone_number": "575-388-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBELLAN",
        "first_name": "DAVID",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.