Hodges & Sargent Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HODGES & SARGENT PHARMACY, LLC

Practice address

210 S. Key Ave
Lampasas, TX 76550

Phone

(512) 556-3392

Fax

(512) 556-3557

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kasha M Clark, PHARM. D

Title

Parmacist in Charge/Owner

Phone

(512) 556-3392

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HODGES AND SARGENT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1164534079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. KEY AVE",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "76550",
            "telephone_number": "512-556-3392",
            "fax_number": "512-556-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. KEY AVE",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "76550",
            "telephone_number": "512-556-3392",
            "fax_number": "512-556-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES & SARGENT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KASHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "512-556-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "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": "28669",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HODGES AND SARGENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HODGES AND SARGENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Johnson
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• Michele Lee Kent, FNP-C

• Community/Retail Pharmacy in Lampasas, TX
• Providers in Lampasas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.