Organization Active NPI

At-Home Pharmacy, Inc.

  • Specialty Pharmacy
  • Desoto, TX
National Provider Identifier
1104934967
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
23351 Issued in TX
Legal business name
AT-HOME PHARMACY, INC.
Practice address
1615 Osprey Dr Ste 100
Desoto, TX 75115-2427
Phone
(214) 239-4020
Fax
(214) 239-4021
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gary Hasty
Title
Manager
Phone
(214) 239-4020

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 23351 TX
Customized Equipment (DME) 332BC3200X 23351 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 23351 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 23351 TX
Pharmacy 333600000X 23351 TX
Community/Retail Pharmacy 3336C0003X 23351 TX
Home Infusion Therapy Pharmacy 3336H0001X 23351 TX
Long Term Care Pharmacy 3336L0003X 23351 TX
Mail Order Pharmacy 3336M0002X 23351 TX
Specialty Pharmacy 3336S0011X 23351 TX Primary

Addresses

Primary practice location

1615 Osprey Dr Ste 100
Desoto, TX 75115-2427

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other names 1

  • AT HOME PHARMACY VITAL CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1615 Osprey Dr
Ste 100
Desoto, TX 75115
Phone (214) 239-4020

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104934967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OSPREY DR STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152427",
            "telephone_number": "214-239-4020",
            "fax_number": "214-239-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT-HOME PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-239-4020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "23351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AT HOME PHARMACY VITAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.