Organization Active NPI

Trixicorp

Doing business as Chane Pharmacy

  • Pharmacy
  • Nashville, TN
National Provider Identifier
1790106854
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TRIXICORP
Doing business as
Chane Pharmacy
Practice address
2510 Murfreesboro Pike
Suite 9
Nashville, TN 37217-3582
Phone
(615) 948-1695
Fax
(615) 953-2507
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Chike Henry Ezeoke, R.PHNPI 1285928465
Title
Owner
Phone
(615) 948-1695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2510 Murfreesboro Pike
Suite 9
Nashville, TN 37217-3582

Mailing address

2510 Murfreesboro Pike
Suite 9
Nashville, TN 37217-3582
Phone (615) 953-2402

Other identifiers 1

IdentifierTypeStateIssuer
Q045450MedicaidTN

Other names 1

  • CHANE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001757 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3779812235 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

2510 Murfreesboro Pike
Ste 9
Nashville, TN 37217
Phone (615) 562-6337

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1790106854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 MURFREESBORO PIKE",
            "address_2": "SUITE 9",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173582",
            "telephone_number": "615-953-2402",
            "fax_number": "615-953-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MURFREESBORO PIKE",
            "address_2": "SUITE 9",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173582",
            "telephone_number": "615-948-1695",
            "fax_number": "615-953-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIXICORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "EZEOKE",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-948-1695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045450",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.