NPIMap

Organization Active NPI

Electra Hospital District

Doing business as Iowa Park Pharmacy

  • Community/Retail Pharmacy
  • Iowa Park, TX
National Provider Identifier
1184639783
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29642 Issued in TX
Legal business name
ELECTRA HOSPITAL DISTRICT
Doing business as
Iowa Park Pharmacy
Practice address
405 SE Access Rd Ste a
Iowa Park, TX 76367-6985
Phone
(940) 592-2731
Fax
(940) 592-2739
NPI assigned
Jul 30, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Rebecca McCain, MHA
Title
Ceo, Ao
Phone
(940) 495-3981

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 29642 TX Primary

Addresses

Primary practice location

405 SE Access Rd Ste a
Iowa Park, TX 76367-6985

Mailing address

PO Box 1112
Electra, TX 76360-1112
Phone (940) 495-3981

Other identifiers 2

IdentifierTypeStateIssuer
2149610OtherPK
148462MedicaidTX

Other names 1

  • Iowa Park Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241001000028 TX Part B Supplier - Pharmacy 6507769494 1 other NPI on this enrollment
Practice locations: Electra, TX; Iowa Park, TX
O20260612003282 TX DME Supplier - Pharmacy 6507769494 Practice locations: Iowa Park, TX

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Iowa Park Pharmacy405 SE Access Rd, Iowa Park, TX 76367-6985(940) 592-2731 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
Electra Hospital Distri12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

115 W Park Ave
Iowa Park, TX 76367
Phone (940) 592-2731

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Electra Memorial HospitalElectra, TX, CCN 451343 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1976
Electra Memorial HospitalElectra, TX, CCN 45Z343 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1976
Electra Healthcare CenterElectra, TX, CCN 675021 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jun 1, 2024
Dec 30, 2024
Jan 1, 2025
Jun 1, 2024
Electra Memorial Hospital Home Health ServicesElectra, TX, CCN 677142 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 21, 1988
Mar 21, 1988
Iowa Park ClinicIowa Park, TX, CCN 673425 Rural health clinic Operational/Managerial Control Aug 1, 2014
Park ClinicIowa Park, TX, CCN 673477 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2019
Aug 1, 2019
Electra Medical ClinicElectra, TX, CCN 673486 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1990
Jan 1, 1990

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1184639783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763601112",
            "telephone_number": "940-495-3981",
            "fax_number": "940-495-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE ACCESS RD STE A",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763676985",
            "telephone_number": "940-592-2731",
            "fax_number": "940-592-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CEO, AO",
        "authorized_official_telephone_number": "940-495-3981",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa Park, TX

Sources for this page

Verify at the official NPI Registry.