NPIMap

Organization Active NPI

Hac Inc

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1710002894
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
209820 Issued in KS
Legal business name
HAC INC
Doing business as
HOMELAND PHARMCY
Practice address
640 N West St
Wichita, KS 67203-1211
Phone
(316) 941-1927
Fax
(316) 941-1928
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 209820 KS Primary

Addresses

Primary practice location

640 N West St
Wichita, KS 67203-1211

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1715448OtherOTHER ID NUMBER
1715448OtherOTHER ID NUMBER-COMMERCIAL 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": "1189555200000",
    "number": "1710002894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25008",
            "address_2": "HOMELAND STORES INC",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031211",
            "telephone_number": "316-941-1927",
            "fax_number": "316-941-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-09-12",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1715448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1715448",
            "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 Sep 12, 2007; 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.