Hawk Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HAWK PHARMACY, INC

Practice address

120 W Park Ave
Iowa Park, TX 76367

Phone

(940) 592-4191

Fax

(940) 592-5613

NPI assigned

Sep 28, 2006

Last updated

Aug 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cory Fikes, DPH

Title

Owner

Phone

(940) 733-0969

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

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

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Laura Maye Palmer, CPHT

  • Pharmacy Technician
  • Iowa Park, TX
  • NPI 1336771369
  NPD (past)
• Kristy Dean Shook, CPHT

  • Pharmacy Technician
  • Iowa Park, TX
  • NPI 1659903672
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1013008499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763672805",
            "telephone_number": "940-592-4191",
            "fax_number": "940-592-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "76367",
            "telephone_number": "940-592-4191",
            "fax_number": "940-592-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-733-0969",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "32019",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beau Ashley Gray, CSFA
• Guardian Health Systems Iowa Park
• Corrie Gulley, CPNP-PC
• Paula Kaye Harley, LBSW-IPR
• Veronica Dawn Harp, AGNP
• Health-E-Connections
• Brie Heaton, PNP
• Raven K Henry, FNP-C
• Iowa Park Consolidated I.S.D
• Iowa Park Physical Therapy

• Community/Retail Pharmacy in Iowa Park, TX
• Providers in Iowa Park, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.