NPIMap

Organization Active NPI

Hac Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
National Provider Identifier
1215052303
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
014634 Issued in OK
Legal business name
HAC INC
Practice address
4308 SE 44TH St
Oklahoma City, OK 73135-3002
Phone
(405) 672-2065
Fax
(405) 670-6893
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Gerald Hines
Title
Director of Pharmacy
Phone
(405) 216-2233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 014634 OK
Community/Retail Pharmacy 3336C0003X 014634 OK Primary

Addresses

Primary practice location

4308 SE 44TH St
Oklahoma City, OK 73135-3002

Mailing address

Homeland Stores Inc
PO Box 25008
Oklahoma City, OK 73125-0008
Phone (405) 216-2233

Other identifiers 2

IdentifierTypeStateIssuer
3717381OtherOTHER ID NUMBER-COMMERCIAL NUMBER
100247680AMedicaidOK

Other names 1

  • HOMELAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hac-Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

4308 SE 44th St
Oklahoma City, OK 73135
Phone (405) 672-2065

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1215052303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOMELAND STORES INC",
            "address_2": "PO BOX 25008",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250008",
            "telephone_number": "405-216-2233",
            "fax_number": "405-216-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 SE 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731353002",
            "telephone_number": "405-672-2065",
            "fax_number": "405-670-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "405-216-2233"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "014634",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "014634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3717381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMELAND PHARMACY",
            "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 Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.