NPIMap

Organization Active NPI

Health and Human Services Commission

  • Long Term Care Pharmacy
  • Rusk, TX
National Provider Identifier
1235148255
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Practice address
805 N Dickinson Dr # 318
Rusk, TX 75785
Phone
(903) 683-7170
Fax
(903) 683-7996
NPI assigned
Aug 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amanda Faught
Title
Pharmacist - Acting Pharmacy Direct
Phone
(903) 683-7093

National Provider Directory

National Provider Directory
Tax ID family
HHSC Wic Program56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

805 N Dickinson Dr
#318
Rusk, TX 75785
Phone (903) 683-7170

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 06030 TX
Long Term Care Pharmacy 3336L0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

805 N Dickinson Dr # 318
Rusk, TX 75785

Mailing address

PO Box 138
805 North Dickinson
Rusk, TX 75785
Phone (903) 683-7170

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
133331202MedicaidTX
2097694OtherPK

Other names 1

NPPES NPI Registry
  • RUSK STATE HOSPITAL PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2021.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1235148255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "address_2": "805 NORTH DICKINSON",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "75785",
            "telephone_number": "903-683-7170",
            "fax_number": "903-683-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N DICKINSON DR # 318",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "75785",
            "telephone_number": "903-683-7170",
            "fax_number": "903-683-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICES COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "FAUGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHARMACIST - ACTING PHARMACY DIRECT",
        "authorized_official_telephone_number": "903-683-7093"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TX",
            "license": "06030",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133331202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSK STATE HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUSK STATE HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.