Active NPI
Plaza Apothecary PLLC
- Pharmacy
- Dallas, TX
National Provider Identifier
1861785370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 27490
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raj Milan Chhadua, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27490 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
Other names 3
- ReNue Pharmacy
- ReNue RX #3
- Plaza Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Frisco, TX
- NPI 1316273956
-
- Pharmacist
- Dallas, TX
- NPI 1639773229
-
- Pharmacist
- Dallas, TX
- NPI 1730822362
-
- Pharmacist
- Dallas, TX
- NPI 1053600627
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.