Organization Active NPI

Dewayne L Chapman

  • Community/Retail Pharmacy
  • Mabank, TX
National Provider Identifier
1811073281
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DEWAYNE L CHAPMAN
Practice address
207 N 3Rd St
Mabank, TX 75147-8610
Phone
(903) 887-3711
Fax
(903) 887-6674
NPI assigned
Oct 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dewayne Lloyd Chapman, RPH.
Title
Owner-Pharmacist
Phone
(903) 887-3711

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

207 N 3rd St
Mabank, TX 75147
Phone (903) 887-3711

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

207 N 3Rd St
Mabank, TX 75147-8610

Mailing address

PO Box 561
Mabank, TX 75147-0561
Phone (903) 887-3711

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4565959OtherTXNABP

Other names 1

NPPES NPI Registry
  • Mabank Family Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2011.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1811073281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751470561",
            "telephone_number": "903-887-3711",
            "fax_number": "903-887-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N 3RD ST",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751478610",
            "telephone_number": "903-887-3711",
            "fax_number": "903-887-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWAYNE L CHAPMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "903-887-3711",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4565959",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabank Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mabank, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.