NPIMap

Organization Active NPI

Hac Inc

Doing business as N/a

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1164469599
Registry record updated Jan 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1-5194 Issued in OK
Legal business name
HAC INC
Doing business as
N/a
Practice address
5857 NW Expressway
Oklahoma City, OK 73132-5240
Phone
(405) 721-3351
Fax
(405) 773-2750
NPI assigned
Jun 2, 2006
Last updated
Jan 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2010

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

Authorized official

Name
Hunter J Hogan III
Title
Director of Pharmacy
Phone
(405) 290-3423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1-5194 OK
Community/Retail Pharmacy 3336C0003X 1-5194 OK Primary

Addresses

Primary practice location

5857 NW Expressway
Oklahoma City, OK 73132-5240

Mailing address

390 NE 36TH St
Oklahoma City, OK 73105-2508
Phone (405) 290-3423

Other identifiers 2

IdentifierTypeStateIssuer
3718650OtherOTHER ID NUMBER-COMMERCIAL NUMBER
100247730JMedicaidOK

Other names 1

  • N/A Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110915000635 OK Part B Supplier - Mass Immunization (Roster Biller Only) 6608083084 35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponca City, OK; Oklahoma City, OK; Norman, OK; Henryetta, OK; Elk City, OK; El Reno, OK; Edmond, OK; Duncan, OK…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262995200000",
    "number": "1164469599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052508",
            "telephone_number": "405-290-3423",
            "fax_number": "405-290-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325240",
            "telephone_number": "405-721-3351",
            "fax_number": "405-773-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-01-09",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "405-290-3423",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "1-5194",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "1-5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3718650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247730J",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; 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.