Active NPI
Hac, Inc
Doing business as Price Chopper Pharmacy
- Pharmacy
- Saint Joseph, MO
National Provider Identifier
1689695645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2005041385
- Legal business name
- HAC, INC
- Doing business as
- Price Chopper Pharmacy
- Practice address
- 903 N 36TH St
Saint Joseph, MO 64506-2971 - Phone
- (816) 236-2002
- Fax
- (816) 236-2004
- NPI assigned
- Jul 22, 2006
- Last updated
- May 15, 2008
- 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
- Gerald Hines
- Title
- Director of Pharmacy
- Phone
- (405) 216-2233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2005041385 | MO | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
903 N 36TH St
Saint Joseph, MO 64506-2971
Mailing address
PO Box 25008
Oklahoma City, OK 73125-0008
Phone (405) 216-2233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2633229 | Other | MO | NCPDP |
| 604979609 | Medicaid | MO |
Other names 1
- PRICE CHOPPER PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Hac Inc
Other organizations with this tax ID 34
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Oklahoma City, OK
- NPI 1346365434
Locations
903 N 36th St
Saint Joseph, MO 64506
Phone (816) 749-4946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1689695645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25008",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731250008",
"telephone_number": "405-216-2233",
"fax_number": "405-216-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N 36TH ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062971",
"telephone_number": "816-236-2002",
"fax_number": "816-236-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "405-216-2233"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2005041385",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2633229",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "604979609",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PRICE CHOPPER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.