Hallettsville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25318 Issued in TX

Legal business name

HALLETTSVILLE PHARMACY LLC

Practice address

304 N Texana St
Hallettsville, TX 77964-2322

Phone

(361) 798-5010

Fax

(361) 798-1616

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Paula H Grahmann, PHARMDNPI 1306918735

Title

President / Owner

Phone

(361) 798-5010

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Your Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Practitioners 4

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

• Paula H Grahmann, PHARM.D.

  • Pharmacist
  • Hallettsville, TX
  • NPI 1306918735
  NPD (past) Authorized official
• Melissa Jane Decker, PHARMD, RPH

  • Pharmacist
  • Hallettsville, TX
  • NPI 1861043192
  NPD (past)
• Dalton Grahmann, PHARMACIST INTERN

  • Student in an Organized Health Care Education/Training Program
  • Bryan, TX
  • NPI 1902617939
  NPD (past)
• Nathan Holub

  • Pharmacist
  • Hallettsville, TX
  • NPI 1609605997
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1043382849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N TEXANA ST",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779642322",
            "telephone_number": "361-798-5010",
            "fax_number": "361-798-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N TEXANA ST",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779642322",
            "telephone_number": "361-798-5010",
            "fax_number": "361-798-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLETTSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "GRAHMANN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "361-798-5010",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25318",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145732",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Renee Haas, PA-C
• Solomon Tessema Hailu
• Kasey Lynn Hairell, LAT,ATC
• Hallett Home Care Services, LLC
• Hallettsville Isd
• Hallettsville Pharmacy LLC
• Hallettsville Rehabilitation and Nursing Center
• Morgan Whitney Heck, M.D.
• Helping Hearts Sitter Service
• Tara Henke

• All providers in Hallettsville, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.