Organization Active NPI

Magnolia Pharmacy Inc

Doing business as Magnolia Pharmacy

  • Community/Retail Pharmacy
  • Magnolia, TX
National Provider Identifier
1003807843
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22265 Issued in TX
Legal business name
MAGNOLIA PHARMACY INC
Doing business as
Magnolia Pharmacy
Practice address
18230 FM 1488 Rd
Suite 100
Magnolia, TX 77354-4529
Phone
(281) 356-9089
Fax
(281) 356-9659
NPI assigned
Nov 1, 2005
Last updated
Mar 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Authorized official

Name
Dr. Steven C Hoffart, PHARM.D.NPI 1255457305
Title
President
Phone
(281) 356-9089

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pharmacy 333600000X 22265 TX
Community/Retail Pharmacy 3336C0003X 22265 TX Primary

Addresses

Primary practice location

18230 FM 1488 Rd
Suite 100
Magnolia, TX 77354-4529

Mailing address

18230 FM 1488 Rd
Suite 100
Magnolia, TX 77354-4529
Phone (281) 356-9089

Other identifiers 2

IdentifierTypeStateIssuer
154799403MedicaidTX
22265OtherTXTEXAS PHARMACY LISCENSE

Other names 1

  • Magnolia Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031103000605 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7214849777 Practice locations: Magnolia, TX
O20200514000866 TX Part B Supplier - Independent Clinical Laboratory 7214849777 Practice locations: Magnolia, TX
O20231207001114 TX Part B Supplier - Pharmacy 7214849777 Practice locations: Magnolia, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1038409Magnolia Pharmacy18230 FM 1488 Suite 100, Magnolia, TX 77354Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

18230 FM 1488 Rd
Ste 100
Magnolia, TX 77354
Phone (281) 356-9089

18602 FM 1488 Rd
Ste 800
Magnolia, TX 77354
Phone (281) 356-9089

Practitioners & affiliated clinicians

Practitioners 10

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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1003807843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD",
            "address_2": "SUITE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544529",
            "telephone_number": "281-356-9089",
            "fax_number": "281-356-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD",
            "address_2": "SUITE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544529",
            "telephone_number": "281-356-9089",
            "fax_number": "281-356-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "HOFFART",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-356-9089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22265",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154799403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LISCENSE",
            "identifier": "22265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.