Healthcare Provider Details

I. General information

NPI: 1619295490
Provider Name (Legal Business Name): COMMUNITY HEALTH PROJECT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 W 18TH ST
NEW YORK NY
10011-4401
US

IV. Provider business mailing address

320 S POLK ST STE 200
AMARILLO TX
79101-1436
US

V. Phone/Fax

Practice location:
  • Phone: 212-271-7260
  • Fax: 806-242-6182
Mailing address:
  • Phone: 806-242-7782
  • Fax: 806-242-6182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number029522
License Number StateNY

VIII. Authorized Official

Name: JOEL WRIGHT
Title or Position: PRESIDENT PHARMACY SERVICES
Credential:
Phone: 806-242-7782