Active NPI
Quincy Gabrielle Chatman, PHARMD
- Pharmacist
- Beaumont, TX
National Provider Identifier
1770239873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54627
- Practice address
- 3845 Phelan Blvd
Beaumont, TX 77707-2243 - Phone
- (409) 833-4437
- Fax
- (409) 833-5184
- NPI assigned
- Feb 28, 2022
- Last updated
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54627 | TX | Primary |
Addresses
Primary practice location
3845 Phelan Blvd
Beaumont, TX 77707-2243
Mailing address
3845 Phelan Blvd
Beaumont, TX 77707-2243
Phone (409) 833-4437
Other practice location 1
3965 Dowlen Rd
Beaumont, TX 77706-6848
Phone (409) 899-8697
Other practice location 2
1600 N 16th St
Orange, TX 77630-3616
Phone (409) 886-1362
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54627 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas LP | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1770239873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 PHELAN BLVD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072243",
"telephone_number": "409-833-4437",
"fax_number": "409-833-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 PHELAN BLVD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072243",
"telephone_number": "409-833-4437",
"fax_number": "409-833-5184"
}
],
"practiceLocations": [
{
"address_1": "3965 Dowlen Rd",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777066848",
"country_code": "US",
"telephone_number": "409-899-8697",
"fax_number": "409-899-8913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 N 16th St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "TX",
"postal_code": "776303616",
"country_code": "US",
"telephone_number": "409-886-1362",
"fax_number": "409-886-8216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHATMAN",
"first_name": "QUINCY",
"middle_name": "GABRIELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.