Organization Active NPI

Chapman Drug Co., Inc.

  • Community/Retail Pharmacy
  • Hapeville, GA
National Provider Identifier
1982742300
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE000900 Issued in GA
Legal business name
CHAPMAN DRUG CO., INC.
Practice address
615 N Central Ave
Hapeville, GA 30354-1917
Phone
(404) 761-1136
Fax
(404) 761-1711
NPI assigned
Feb 1, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Derek Charles Chapman, PHARM.D.NPI 1578887345
Title
Ceo
Phone
(404) 761-1136

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE000900 GA Primary

Addresses

Primary practice location

615 N Central Ave
Hapeville, GA 30354-1917

Mailing address

615 N Central Ave
Hapeville, GA 30354-1917
Phone (404) 761-1136

Other identifiers 2

IdentifierTypeStateIssuer
00023075AMedicaidGA
PHRE000900OtherGASTATE LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115002390 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5799117578 Practice locations: Hapeville, GA

National Provider Directory

National Provider Directory

Locations

615 N Central Ave
Hapeville, GA 30354
Phone (404) 761-1136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982742300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N CENTRAL AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541917",
            "telephone_number": "404-761-1136",
            "fax_number": "404-761-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N CENTRAL AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541917",
            "telephone_number": "404-761-1136",
            "fax_number": "404-761-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPMAN DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-761-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023075A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "PHRE000900",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hapeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.