Organization Active NPI

Plaza Apothecary PLLC

  • Pharmacy
  • Dallas, TX
National Provider Identifier
1861785370
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
27490 Issued in TX
Legal business name
PLAZA APOTHECARY PLLC
Practice address
600 N Pearl Street, Ste H201
Dallas, TX 75201-7430
Phone
(214) 855-0606
Fax
(214) 855-0609
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. Raj Milan Chhadua, PHARMDNPI 1316273956
Title
Owner/Managing Partner
Phone
(214) 422-2598

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Pharmacy 333600000X 27490 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

600 N Pearl Street, Ste H201
Dallas, TX 75201-7430

Mailing address

P.O. Box 2735
Frisco, TX 75034-0051
Phone (214) 855-0606

Other identifiers 1

IdentifierTypeStateIssuer
27490OtherTXTEXAS STATE BOARD OF PHARMACY

Other names 3

  • ReNue Pharmacy Doing business as
  • ReNue RX #3 Doing business as
  • Plaza Medical Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200506000031 TX Part B Supplier - Pharmacy 3274886577 Practice locations: Dallas, TX
O20200622002025 TX Part B Supplier - Independent Clinical Laboratory 3274886577 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1861785370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051",
            "telephone_number": "214-855-0606",
            "fax_number": "214-855-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PEARL STREET, STE H201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017430",
            "telephone_number": "214-855-0606",
            "fax_number": "214-855-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA APOTHECARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CHHADUA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "214-422-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27490",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "27490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReNue RX #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plaza Medical Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.