Active NPI
Hometown Wellness Pharmacy, Inc
- Community/Retail Pharmacy
- Eagle Pass, TX
National Provider Identifier
1386307437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HOMETOWN WELLNESS PHARMACY, INC
- Practice address
- 1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456 - Phone
- (830) 213-8485
- NPI assigned
- Oct 15, 2021
- Last updated
- Oct 20, 2021
- 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
- Michael Luna
- Title
- Officer
- Phone
- (830) 352-3461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456
Mailing address
1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456
Phone (830) 213-8485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34017 | Other | TX | TEXAS PHARMACY LICENSE |
National Provider Directory
National Provider DirectoryLocations
1975 N Veterans Blvd
Ste 3A
Eagle Pass, TX 78852
Phone (830) 213-8485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1386307437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 N VETERANS BLVD STE 3A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524456",
"telephone_number": "830-213-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 N VETERANS BLVD STE 3A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524456",
"telephone_number": "830-213-8485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN WELLNESS PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "LUNA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "830-352-3461"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PHARMACY LICENSE",
"identifier": "34017",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.