Organization Active NPI

Hale Center Clinical Pharmacy LLC

Doing business as Hale Center Clinical Pharmacy

  • Community/Retail Pharmacy
  • Hale Center, TX
National Provider Identifier
1780782771
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29151 Issued in TX
Legal business name
HALE CENTER CLINICAL PHARMACY LLC
Doing business as
Hale Center Clinical Pharmacy
Practice address
601 Avenue G
Hale Center, TX 79041-1450
Phone
(806) 839-2466
Fax
(806) 839-3170
NPI assigned
Sep 21, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Laura PattersonNPI 1073049649
Title
President/Pic
Phone
(806) 839-2466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 29151 TX Primary

Addresses

Primary practice location

601 Avenue G
Hale Center, TX 79041-1450

Mailing address

PO Box 548
Hale Center, TX 79041-0548
Phone (806) 839-2466

Other identifiers 2

IdentifierTypeStateIssuer
2146231OtherPK
146920MedicaidTX

Other names 1

  • Hale Center Clinical Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141223000920 TX Part B Supplier - Pharmacy 6406074335 Practice locations: Hale Center, TX
O20150309001730 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6406074335 Practice locations: Hale Center, TX
O20211007001945 TX Part B Supplier - Independent Clinical Laboratory 6406074335 Practice locations: Hale Center, 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
45D2228301Hale Center Clinical Pharmacy LLC601 Avenue G, Hale Center, TX 79041Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1780782771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HALE CENTER",
            "state": "TX",
            "postal_code": "790410548",
            "telephone_number": "806-839-2466",
            "fax_number": "806-839-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 AVENUE G",
            "city": "HALE CENTER",
            "state": "TX",
            "postal_code": "790411450",
            "telephone_number": "806-839-2466",
            "fax_number": "806-839-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE CENTER CLINICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "806-839-2466"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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": "29151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale Center Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hale Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.