Organization Active NPI

HNK Pharm, PLLC LTC

Doing business as Health-Wise Pharmacy of Lavaca LTC

  • Long Term Care Pharmacy
  • Lavaca, AR
National Provider Identifier
1376338780
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HNK PHARM, PLLC LTC
Doing business as
Health-Wise Pharmacy of Lavaca LTC
Practice address
1800 W Main St
Lavaca, AR 72941-3802
Phone
(479) 674-2222
Fax
(479) 674-2224
NPI assigned
Apr 14, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Kristin AhlertNPI 1932530268
Title
Owner
Phone
(479) 674-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1800 W Main St
Lavaca, AR 72941-3802

Mailing address

1800 W Main St
Lavaca, AR 72941-3802
Phone (479) 674-2222

Other names 1

  • Health-Wise Pharmacy of Lavaca LTC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2320788Health-Wise Pharmacy of Lavaca1800 West Main Street, Lavaca, AR 72941Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Health-Wise Pharmacy of Lavaca LTC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1376338780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W MAIN ST",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729413802",
            "telephone_number": "479-674-2222",
            "fax_number": "479-674-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W MAIN ST",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729413802",
            "telephone_number": "479-674-2222",
            "fax_number": "479-674-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HNK PHARM, PLLC LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "AHLERT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-674-2222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health-Wise Pharmacy of Lavaca LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lavaca, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.