Active NPI
HNK Pharm, PLLC
- Community/Retail Pharmacy
- Lavaca, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HNK PHARM, PLLC
- Practice address
- 1800 West Main
Lavaca, AR 72941 - Phone
- (479) 674-2222
- NPI assigned
- Oct 21, 2014
- Last updated
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heath Nolen Branscum
- Title
- Owner/ Pharmacist
- Phone
- (479) 674-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1800 West Main
Lavaca, AR 72941
Mailing address
1800 West Main
Lavaca, AR 72941
Phone (479) 674-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241010003592 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042742322 | Practice locations: Lavaca, AR |
National Provider Directory
National Provider Directory- Tax ID family
- Health-Wise Pharmacy of Lavaca LTC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Lavaca, AR
- NPI 1821773920
-
dba Health-Wise Pharmacy of Lavaca LTC
- Long Term Care Pharmacy
- Lavaca, AR
- NPI 1376338780
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Mansfield, AR
- NPI 1124228978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1154725067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WEST MAIN",
"city": "LAVACA",
"state": "AR",
"postal_code": "72941",
"telephone_number": "479-674-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WEST MAIN",
"city": "LAVACA",
"state": "AR",
"postal_code": "72941",
"telephone_number": "479-674-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HNK PHARM, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-21",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "BRANSCUM",
"authorized_official_first_name": "HEATH",
"authorized_official_middle_name": "NOLEN",
"authorized_official_title_or_position": "OWNER/ PHARMACIST",
"authorized_official_telephone_number": "479-674-2222"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lavaca, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.