Kiowa Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13583 Issued in TX

Legal business name

KIOWA PHARMACY, INC.

Doing business as

Hometown Pharmacy

Practice address

1201 Olive St
Suite 104
Gainesville, TX 76240

Phone

(940) 668-7384

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Rhonda S Hindsley

Title

Secretary

Phone

(903) 893-0677

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HOMETOWN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kiowa Pharmacy, Inc.

  dba Hometown Pharmacy

  • Long Term Care Pharmacy
  • Gainesville, TX
  • NPI 1447075643
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connor John Pelzel, PHARM D

  • Pharmacist
  • Gainesville, TX
  • NPI 1194456210
  NPD (past)
• Kelea Ann Tischler, RPH

  • Pharmacist
  • Gainsville, TX
  • NPI 1730693185
  NPD (past)
• Morghan E'Lise Tischler, PHARMD

  • Pharmacist
  • Gainesville, TX
  • NPI 1134859143
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1265418792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912407",
            "telephone_number": "903-893-0677",
            "fax_number": "903-893-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OLIVE ST",
            "address_2": "SUITE 104",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-668-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOWA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "HINDSLEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "903-893-0677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "13583",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13583",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "13583",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "13583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143598",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0677445-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Kennedy-Reiter (A Better Tomorrow Counseling Service)
• Bhupinder S Khaira, MD
• Abdul Nasir Khan, MD
• Khawaja N. Anwar MD PA (Cooke County Medical Center)
• Cassidae Lynn King, AU.D.
• Kiowa Pharmacy, Inc. (Hometown Pharmacy)
• Amy Klein, D.O.
• Mark R Klein, DO
• Niatasha Klement, SLP
• Polly Anna Klement, NP

• Community/Retail Pharmacy in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.