Organization Active NPI

Hitchcock Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Hitchcock, TX
National Provider Identifier
1669028742
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HITCHCOCK HOMETOWN PHARMACY LLC
Practice address
8725 Highway 6
Hitchcock, TX 77563-3113
Phone
(409) 209-0847
Fax
(409) 209-0947
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Nandan Kumar Shaw, RPHNPI 1285230730
Title
Owner
Phone
(832) 208-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8725 Highway 6
Hitchcock, TX 77563-3113

Mailing address

8725 Highway 6
Hitchcock, TX 77563-3113
Phone (409) 209-0847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201002579 TX Part B Supplier - Pharmacy 6204240393 Practice locations: Hitchcock, TX

National Provider Directory

National Provider Directory

Locations

8719 Highway 6
Hitchcock, TX 77563
Phone (409) 209-0847

8725 Highway 6
Hitchcock, TX 77563
Phone (409) 209-0847

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1669028742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 HIGHWAY 6",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775633113",
            "telephone_number": "409-209-0847",
            "fax_number": "409-209-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 HIGHWAY 6",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775633113",
            "telephone_number": "409-209-0847",
            "fax_number": "409-209-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITCHCOCK HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "NANDAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-208-9794",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hitchcock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.