Organization Active NPI

Chase Pharmacy Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
National Provider Identifier
1871639484
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112719 Issued in AL
Legal business name
CHASE PHARMACY INC
Doing business as
CHASE PHARMACY INC
Practice address
2700 Winchester Rd NE Ste B
Huntsville, AL 35811-9230
Phone
(256) 851-1345
Fax
(256) 851-1347
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Rick Sansom
Title
President and Phcist
Phone
(256) 851-1345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112719 AL Primary

Addresses

Primary practice location

2700 Winchester Rd NE Ste B
Huntsville, AL 35811-9230

Mailing address

2700 Winchester Rd NE Ste B
Huntsville, AL 35811-9230
Phone (256) 851-1345

Other identifiers 2

IdentifierTypeStateIssuer
1995717OtherPK
100003664MedicaidAL

Other names 1

  • CHASE PHARMACY INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113000137 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0345430245 Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

1762 Winchester Rd NE
Huntsville, AL 35811
Phone (256) 851-1345

2700 Winchester Rd NE
Ste B
Huntsville, AL 35811
Phone (256) 851-1345

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1871639484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WINCHESTER RD NE STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358119230",
            "telephone_number": "256-851-1345",
            "fax_number": "256-851-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WINCHESTER RD NE STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358119230",
            "telephone_number": "256-851-1345",
            "fax_number": "256-851-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "SANSOM",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT AND PHCIST",
        "authorized_official_telephone_number": "256-851-1345"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003664",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHASE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHASE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.