Active NPI
Hill Country Drug LLC
- Community/Retail Pharmacy
- New Braunfels, TX
National Provider Identifier
1164538849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11852
- Legal business name
- HILL COUNTRY DRUG LLC
- Practice address
- 1395 Sattler Rd
Ste 8
New Braunfels, TX 78132-2295 - Phone
- (830) 964-3615
- Fax
- (830) 964-2553
- NPI assigned
- Aug 22, 2006
- 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
- Dr. Josephine A Than, PHARMD
- Title
- Co-Owner
- Phone
- (830) 964-3615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11852 | TX | Primary |
Addresses
Primary practice location
1395 Sattler Rd
Ste 8
New Braunfels, TX 78132-2295
Mailing address
PO Box 2229
Canyon Lake, TX 78133-0009
Phone (830) 964-3615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4572966 | Other | NABP | |
| 149640 | Medicaid | TX |
Other names 1
- Lone Star Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180911001817 | TX | Part B Supplier - Pharmacy | 2769732817 | Practice locations: Canyon Lake, TX |
| O20200609001238 | TX | DME Supplier - Pharmacy | 2769732817 | Practice locations: Canyon Lake, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Hill Country Drug LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- New Braunfels, TX
- NPI 1598505448
Locations
1395 Sattler Rd
Ste 8
New Braunfels, TX 78132
Phone (830) 964-3615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588723200000",
"number": "1164538849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2229",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781330009",
"telephone_number": "830-964-3615",
"fax_number": "830-964-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 SATTLER RD",
"address_2": "STE 8",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781322295",
"telephone_number": "830-964-3615",
"fax_number": "830-964-2553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL COUNTRY DRUG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A",
"authorized_official_last_name": "THAN",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "830-964-3615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "11852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4572966",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149640",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lone Star Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.