NPIMap

Organization Active NPI

Comanche County Medical Center Company

  • Community/Retail Pharmacy
  • Goldthwaite, TX
National Provider Identifier
1043313174
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04397 Issued in TX
Legal business name
COMANCHE COUNTY MEDICAL CENTER COMPANY
Practice address
1503 W Front St
Goldthwaite, TX 76844-2056
Phone
(325) 648-2484
Fax
(325) 648-3417
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Misty Hill
Title
Director of Retail Pharmacy Ops.
Phone
(254) 879-4900

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 04397 TX Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1503 W Front St
Goldthwaite, TX 76844-2056

Mailing address

10201 Texas 16
Comanche, TX 76442
Phone (325) 648-2484

Other identifiers 2

IdentifierTypeStateIssuer
2096759OtherPK
141499MedicaidTX

Other names 2

  • MCMAHAN PHARMACY SERVICES Doing business as
  • Comanche County Medical Center Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823001823 TX Part B Supplier - Pharmacy 1557489929 Practice locations: Goldthwaite, TX

National Provider Directory

National Provider Directory
Tax ID family
Comanche County Med Ctr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1043313174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 TEXAS 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "76442",
            "telephone_number": "325-648-2484",
            "fax_number": "325-648-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W FRONT ST",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442056",
            "telephone_number": "325-648-2484",
            "fax_number": "325-648-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY MEDICAL CENTER COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR OF RETAIL PHARMACY OPS.",
        "authorized_official_telephone_number": "254-879-4900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04397",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096759",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCMAHAN PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCMAHAN PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comanche County Medical Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldthwaite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.