NPIMap

Organization Active NPI

Hac, Inc

Doing business as Homeland Pharmacy #164

  • Community/Retail Pharmacy
  • Edmond, OK
National Provider Identifier
1598564635
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAC, INC
Doing business as
Homeland Pharmacy #164
Practice address
16525 Rose Creek Dr.
Edmond, OK 73012
Phone
(405) 400-2121
Fax
(405) 290-3121
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Joshua Miller, PHARMD
Title
Director of Pharmacy
Phone
(405) 290-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16525 Rose Creek Dr.
Edmond, OK 73012

Mailing address

390 NE 36TH St
Oklahoma City, OK 73105-2508
Phone (405) 290-3421

Other names 1

  • Homeland Pharmacy #164 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110915000635 OK Part B Supplier - Mass Immunization (Roster Biller Only) 6608083084 35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponca City, OK; Oklahoma City, OK; Norman, OK; Henryetta, OK; Elk City, OK; El Reno, OK; Edmond, OK; Duncan, OK…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory
Tax ID family
Hac Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations (25 of 44)

205 N Commerce St
#169
Ardmore, OK 73401
Phone (580) 223-0143

2501 SE Washington Blvd
#467
Bartlesville, OK 74006
Phone (918) 335-2020

511 SE Frank Phillips Blvd
Homeland Pharmacy 563
Bartlesville, OK 74003
Phone (918) 336-9411

7101 NW 23rd St
#217
Bethany, OK 73008
Phone (405) 789-2596

1200 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-0230

1200 W Gary Blvd
#148
Clinton, OK 73601
Phone (580) 323-0230

4129 SE 29th St
#237
Del City, OK 73115
Phone (405) 672-2180

1401 W Beech Ave
#182
Duncan, OK 73533
Phone (580) 255-0228

1151 N Bryant Ave
#238
Edmond, OK 73034
Phone (405) 844-4404

16525 Rose Creek Blvd
Edmond, OK 73012
Phone (405) 400-2121

2205 W Edmond Rd
Edmond, OK 73003
Phone (405) 340-0236

2205 W Edmond Rd
#208
Edmond, OK 73003
Phone (405) 340-0236

24 E 33rd St
Edmond, OK 73013
Phone (405) 330-7202

24 E 33rd St
#886
Edmond, OK 73013
Phone (405) 330-7202

210 W Elm St
El Reno, OK 73036
Phone (405) 262-3212

210 W Elm St
#401
El Reno, OK 73036
Phone (405) 262-3212

2700 W 3rd St
#362
Elk City, OK 73644
Phone (580) 225-1600

412 W 3rd St
Elk City, OK 73644
Phone (580) 225-7961

412 W 3rd St
#170
Elk City, OK 73644
Phone (580) 225-7961

220 E Cleveland Ave
#188
Guthrie, OK 73044
Phone (405) 282-0466

310 W Trudgeon St
Henryetta, OK 74437
Phone (918) 652-2553

310 W Trudgeon St
#495
Henryetta, OK 74437
Phone (918) 652-2553

2410 Chandler Rd
#247
Muskogee, OK 74403
Phone (918) 686-6734

1251 Alameda St
#255
Norman, OK 73071
Phone (405) 447-0041

1724 W Lindsey St
#200
Norman, OK 73069
Phone (405) 364-3900

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1598564635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052508",
            "telephone_number": "405-290-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 ROSE CREEK DR.",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73012",
            "telephone_number": "405-400-2121",
            "fax_number": "405-290-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "405-290-3423",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homeland Pharmacy #164",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.