Organization Active NPI

H K a Corporation

Doing business as Professional Pharmacy

  • Community/Retail Pharmacy
  • Pecos, TX
National Provider Identifier
1780715607
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05163 Issued in TX
Legal business name
H K A CORPORATION
Doing business as
Professional Pharmacy
Practice address
1010 S. Eddy St.
Suite a
Pecos, TX 79772-6902
Phone
(432) 447-2266
Fax
(432) 447-3909
NPI assigned
Mar 9, 2007
Last updated
Sep 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Leo Hung, RPHNPI 1790794055
Title
President
Phone
(432) 447-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 05163 TX Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1010 S. Eddy St.
Suite a
Pecos, TX 79772-6902

Mailing address

1010 S. Eddy
Suite a
Pecos, TX 79772-6902
Phone (432) 447-2266

Other identifiers 2

IdentifierTypeStateIssuer
4500484OtherNCPDP PROVIDER IDENTIFICATION NUMBER
141830MedicaidTX

Other names 1

  • PROFESSIONAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908000943 TX Part B Supplier - Mass Immunization (Roster Biller Only) 0446385975 Practice locations: Pecos, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2200282Professional Pharmacy Hka Corp D/B/a1010 S Eddy Suite a, Pecos, TX 79772Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
H K a Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 N Main St
Fort Stockton, TX 79735
Phone (432) 336-6507

1010 S Eddy St
Unit C
Pecos, TX 79772
Phone (432) 447-2808

315 S Oak St
Pecos, TX 79772
Phone (432) 445-3330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1780715607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S. EDDY",
            "address_2": "SUITE A",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797726902",
            "telephone_number": "432-447-2266",
            "fax_number": "432-447-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S. EDDY ST.",
            "address_2": "SUITE A",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797726902",
            "telephone_number": "432-447-2266",
            "fax_number": "432-447-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H K A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-447-2266",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05163",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4500484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pecos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.