Organization Active NPI

Hac Inc

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1710002811
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
209799 Issued in KS
Legal business name
HAC INC
Doing business as
HOMELAND PHARMCY
Practice address
1910 W 21St St N
Wichita, KS 67203-2105
Phone
(316) 838-5908
Fax
(316) 838-7239
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Gerald Hines
Title
Director of Phamarcy
Phone
(405) 216-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 209799 KS Primary

Addresses

Primary practice location

1910 W 21St St N
Wichita, KS 67203-2105

Mailing address

Homeland Stores Inc
PO Box 25008
Oklahoma City, OK 73125-0008

Other identifiers 2

IdentifierTypeStateIssuer
1717769OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1717769OtherOTHER ID NUMBER

Other names 1

  • HOMELAND PHARMCY Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1710002811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOMELAND STORES INC",
            "address_2": "PO BOX 25008",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032105",
            "telephone_number": "316-838-5908",
            "fax_number": "316-838-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR OF PHAMARCY",
        "authorized_official_telephone_number": "405-216-2233"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1717769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1717769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMELAND PHARMCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.