Chandler Fike Fales, PHARMD, RPH
Individual provider Active NPI Pharmacist · Cuero, TX
NPI 1780419879 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1780419879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 71381 (TX)
- Practice address
- 909 E Broadway St
Cuero, TX 77954-2126 - Phone
- (361) 275-8934
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71381 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current |
Accepting new patients | |
| H-E-B, LP | Past |
Accepting new patients |
Locations
909 E Broadway St
Cuero, TX 77954
Phone (361) 275-8934
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71381 | TX | Yes |
Addresses
Primary practice location
909 E Broadway St
Cuero, TX 77954-2126
Mailing address
909 E Broadway St
Cuero, TX 77954-2126
Phone (361) 275-8934
Other providers in Cuero, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.