Canadian Pharmacy Management LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23282 Issued in TX

Legal business name

CANADIAN PHARMACY MANAGEMENT LLC

Practice address

200 Cheyenne Ave
Canadian, TX 79014-3018

Phone

(806) 323-6171

Fax

(806) 323-6133

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Dee HareNPI 1851912356

Title

Pic

Phone

(806) 663-0356

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• MEDIC PHARMACY AND GIFTS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Dee Ann Hare, RPH

  • Pharmacist
  • Canadian, TX
  • NPI 1851912356
  NPD (past) Authorized official
• Brooke Richardson

  • Pharmacist
  • Canadian, TX
  • NPI 1356963706
  NPD
• Roger A Davenport, RPH

  • Pharmacist
  • Canadian, TX
  • NPI 1427146299
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1942393392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHEYENNE AVE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143018",
            "telephone_number": "806-323-6171",
            "fax_number": "806-323-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHEYENNE AVE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143018",
            "telephone_number": "806-323-6171",
            "fax_number": "806-323-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADIAN PHARMACY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "806-663-0356"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23282",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIC PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Kate Butler, APRN-CNP
• Canadian Eyecare Clinic, P.C.
• Canadian Family Physicians, PLLC
• Canadian Isd
• James Clifford Chappell
• George A Cook, MD
• Roger A Davenport, RPH
• Derm Nuvo PA
• Ga Tony Cook MD PA

• All providers in Canadian, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.