Hawthorn LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HAWTHORN LTC PHARMACY LLC

Doing business as

Hawthorn LTC Pharmacy

Practice address

2013 S Belt Hwy Ste 100
Saint Joseph, MO 64507-2239

Phone

(816) 396-7751

Fax

(785) 396-7754

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Hynek, PHARM.D.

Title

Owner

Phone

(816) 396-7751

Specialties & licenses 1

Addresses

Other names 1

• Hawthorn LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1720874829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S BELT HWY STE 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072239",
            "telephone_number": "816-396-7751",
            "fax_number": "785-396-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S BELT HWY STE 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072239",
            "telephone_number": "816-396-7751",
            "fax_number": "785-396-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "HYNEK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-396-7751",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.