Organization Active NPI

Chaffee Pharmacy Inc.

  • Community/Retail Pharmacy
  • Fort Smith, AR
National Provider Identifier
1710666854
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHAFFEE PHARMACY INC.
Practice address
6210 Massard Rd Ste 104
Fort Smith, AR 72916-5042
Phone
(479) 551-2840
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Dr. Danielle Ddedmon, PHARM.D.
Title
President/Pic
Phone
(479) 551-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6210 Massard Rd Ste 104
Fort Smith, AR 72916-5042

Mailing address

6210 Massard Rd Ste 104
Fort Smith, AR 72916-5042
Phone (479) 551-2840

National Provider Directory

National Provider Directory

Locations

6210 Massard Rd
Ste 104
Fort Smith, AR 72916
Phone (479) 551-2840

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1710666854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 104",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-551-2840",
            "fax_number": "479-551-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 104",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-551-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAFFEE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-02-05",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DDEDMON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "479-551-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.