Active NPI
Haeckerville Pharmacy LLC
Doing business as Haeckerville Pharmacy
- Community/Retail Pharmacy
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31288
- Legal business name
- HAECKERVILLE PHARMACY LLC
- Doing business as
- Haeckerville Pharmacy
- Practice address
- 16800 Greenspoint Park Dr Ste 160S
Houston, TX 77060-2311 - Phone
- (281) 915-0793
- Fax
- (281) 915-0793
- NPI assigned
- Feb 22, 2017
- Last updated
- Sep 19, 2025
- 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
- Waylon Haecker, RPH
- Title
- Owner/Pic/Ao
- Phone
- (281) 915-0793
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 31288 | TX | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
16800 Greenspoint Park Dr Ste 160S
Houston, TX 77060-2311
Mailing address
16800 Greenspoint Park Dr Ste 160S
Houston, TX 77060-2311
Phone (317) 650-6768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168580 | Other | PK | |
| 149605 | Medicaid | TX |
Other names 1
- Haeckerville Pharmacy
National Provider Directory
National Provider DirectoryLocations
16800 Greenspoint Park Dr
Ste 160S
Houston, TX 77060
Phone (281) 915-0793
9402 Highway 6
Ste 400
Missouri City, TX 77459
Phone (281) 915-0793
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Missouri City, TX
- NPI 1528341393
-
- Community/Retail Pharmacy
- Missouri City, TX
- NPI 1376015925
-
- Pharmacist
- Tucson, AZ
- NPI 1053928192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1215476395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 GREENSPOINT PARK DR STE 160S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602311",
"telephone_number": "317-650-6768",
"fax_number": "281-915-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16800 GREENSPOINT PARK DR STE 160S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602311",
"telephone_number": "281-915-0793",
"fax_number": "281-915-0793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAECKERVILLE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-22",
"last_updated": "2025-09-19",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "HAECKER",
"authorized_official_first_name": "WAYLON",
"authorized_official_title_or_position": "OWNER/PIC/AO",
"authorized_official_telephone_number": "281-915-0793",
"authorized_official_credential": "RPH"
},
"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": "31288",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2168580",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149605",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Haeckerville Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.