NPIMap

Organization Active NPI

Reagan Hospital District

Doing business as RHD Pharmacy

  • Community/Retail Pharmacy
  • Big Lake, TX
National Provider Identifier
1619400785
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
REAGAN HOSPITAL DISTRICT
Doing business as
RHD Pharmacy
Reagan Pharmacy
Practice address
800 N Main Ave
Big Lake, TX 76932-3900
Phone
(325) 884-5622
NPI assigned
Apr 6, 2017
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Jonathon Voelkel
Title
Ceo
Phone
(325) 884-2561

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

800 N Main Ave
Big Lake, TX 76932-3900

Mailing address

1300 N Main Ave
Big Lake, TX 76932-3202
Phone (325) 884-2561

Other practice location 1

1300 N Main Avenue
Big Lake, TX 76932-3938
Phone (325) 884-2561

Other identifiers 1

IdentifierTypeStateIssuer
34943OtherTXLICENSE NUBMER

Other names 2

  • RHD Pharmacy Doing business as
  • Reagan Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200713001096 TX Part B Supplier - Pharmacy 3678606399 Practice locations: Big Lake, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Reagan Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reagan Memorial HospitalBig Lake, TX, CCN 451301 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Reagan Memorial HospitalBig Lake, TX, CCN 45Z301 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Hickman Rural Health ClinicBig Lake, TX, CCN 673438 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1619400785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323202",
            "telephone_number": "325-884-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323900",
            "telephone_number": "325-884-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Main Avenue",
            "address_purpose": "LOCATION",
            "city": "Big Lake",
            "state": "TX",
            "postal_code": "769323938",
            "country_code": "US",
            "telephone_number": "325-884-2561",
            "fax_number": "325-884-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAGAN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "VOELKEL",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-884-2561"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUBMER",
            "identifier": "34943",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reagan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Lake, TX

Sources for this page

Verify at the official NPI Registry.