Active NPI
Chase C Pickering, PHARM.D., MBA, PMP
- Pharmacist
- Dallas, TX
National Provider Identifier
1942873302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051295515
- Practice address
- 2919 Allister St
Dallas, TX 75229-2460 - Phone
- (646) 320-1068
- NPI assigned
- Jul 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66527 | TX | |
| Pharmacist | 183500000X | 22149 | IA | |
| Pharmacist | 183500000X | 051295515 | IL | Primary |
Addresses
Primary practice location
2919 Allister St
Dallas, TX 75229-2460
Mailing address
2919 Allister St
Dallas, TX 75229-2460
Phone (646) 320-1068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22149 | IA | MD | Pharmacist |
| 051295515 | IL | MD | Pharmacist |
| 66527 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1942873302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 ALLISTER ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752292460",
"telephone_number": "646-320-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 ALLISTER ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752292460",
"telephone_number": "646-320-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "CHASE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARM.D., MBA, PMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66527",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22149",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.