TANK CHESTERFIELD LLC (NPI# 1134626278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134626278 |
| Entity Type | Organization |
| Organization Name | TANK CHESTERFIELD LLC |
| Other Organization Name | CHESTERFIELD PHARMACY |
| Practice Address |
102 N Shiloh Rd Ste 305 Garland TX 75042-6695 |
| Mailing Address |
9139 Vintage Oaks Ct Dallas TX 75231-4705 |
| Practice Telephone | 9722720840 |
| Practice Fax Number | 2145949669 |
| Mailing Telephone | 2143952987 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | COURTNEY HICKS STEGMAN (PIC) |
| Authorized Official Telephone | 2143952987 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 31922 | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| Chesterfield Pharmacy | Doing Business As Name - Organization |
| Street Address |
102 N SHILOH RD STE 305 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-6695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854645 | Shiloh Pharmacy Inc. | Pharmacy | 3035 S Shiloh Rd Ste 150, Garland, TX 75041-2497 | 2020-06-01 |
| 1518580422 | Medstork Rx, LLC | Pharmacy | 1413 E Interstate 30 Ste 6, Garland, TX 75043-4784 | 2020-05-26 |
| 1093379380 | Medical Butterfly Inc | Pharmacy | 2231 Peggy Ln # B, Garland, TX 75042-5708 | 2019-04-23 |
| 1689004442 | Garland Care Plus LLC | Pharmacy | 1401 Northwest Hwy Ste 107, Garland, TX 75041-5264 | 2013-11-14 |
| 1710251772 | Broadway Pharmacy LLC | Pharmacy | 3334 Broadway Blvd Ste 412, Garland, TX 75043-1575 | 2012-03-08 |
| 1578830360 | Remington Heritage Holdings Inc | Pharmacy | 2046 Forest Ln Ste 140, Garland, TX 75042-7939 | 2011-11-21 |
| 1215227103 | Advanced Prescription Service | Pharmacy | 3671 Broadway Blvd, Ste 300, Garland, TX 75043 | 2011-04-12 |
| 1932272465 | Kroger Texas L P | Pharmacy | 532 W I 30, Garland, TX 75043-5700 | 2006-11-15 |
| 1265547202 | Yum Pharmacies Inc | Pharmacy | 1215 W Buckingham Rd, Ste B, Garland, TX 75040-4533 | 2006-08-20 |
| 1356356950 | Independent Pharmacy Associates LLC | Pharmacy | 3641 Broadway Blvd Ste 100, Suite 100, Garland, TX 75043-1676 | 2006-07-30 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.