Henrietta Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24672752243 Issued in TX

Legal business name

HENRIETTA PHARMACY INC

Practice address

124 N Bridge St
Henrietta, TX 76365-2804

Phone

(940) 538-4361

Fax

(940) 538-6345

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mark MathewsNPI 1750981957

Title

Pharmacist

Phone

(940) 538-4361

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Henrietta Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Nocona, TX
  • NPI 1104708387
  NPPES parent name
• Henrietta Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Henrietta, TX
  • NPI 1790524296
  NPPES parent name

Practitioners 3

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

• Mark Mathews, RPH

  • Pharmacist
  • Henrietta, TX
  • NPI 1750981957
  NPD (past) Authorized official
• John Wayne Mathews, RPH

  • Pharmacist
  • Henrietta, TX
  • NPI 1841890936
  NPD (past)
• Belinda Jo Sanchez, RPH

  • Pharmacist
  • Henrietta, TX
  • NPI 1588256010
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1770633703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BRIDGE ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763652804",
            "telephone_number": "940-538-4361",
            "fax_number": "940-538-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BRIDGE ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763652804",
            "telephone_number": "940-538-4361",
            "fax_number": "940-538-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRIETTA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "940-538-4361"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24672752243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068020902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas David Greer, MD
• Crhistian Noemi Guerrero, M.D.
• Hemesath Podiatry PLLC
• Cynthia Kay Hemesath, DPM
• Henrietta Independent School District
• Henrietta Pharmacy, Inc.
• Maci Heuring, RN
• Cari Howard-Shaw, FNP B-C
• Katrina K King, OT
• Tiffany Ann Leach, M.S., CCC/SLP

• All providers in Henrietta, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.