Organization Active NPI

Haeckerville Pharmacy LLC

Doing business as Haeckerville Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1215476395
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31288 Issued in TX
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Waylon Haecker, RPHNPI 1528341393
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2168580OtherPK
149605MedicaidTX

Other names 1

  • Haeckerville Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.