Organization Active NPI

Pilot Point Pharmacy LTD.

  • Community/Retail Pharmacy
  • Pilot Point, TX
National Provider Identifier
1801955273
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25338 Issued in TX
Legal business name
PILOT POINT PHARMACY LTD.
Practice address
1340 N Highway 377
Ste 100
Pilot Point, TX 76258
Phone
(940) 686-0123
Fax
(940) 686-0170
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Rhonda Hindsley
Title
Secretary
Phone
(903) 893-0677

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25338 TX Primary

Addresses

Primary practice location

1340 N Highway 377
Ste 100
Pilot Point, TX 76258

Mailing address

PO Box 2407
Sherman, TX 75091-2407
Phone (903) 893-0677

Other identifiers 2

IdentifierTypeStateIssuer
2099887OtherPK
148954MedicaidTX

Other names 2

  • PELZELS HOMETOWN PHARMACY Doing business as
  • Pelzel's Hometown Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140307000239 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7012110646 Practice locations: Pilot Point, TX

National Provider Directory

National Provider Directory

Locations

1340 N Highway 377
Ste 1
Pilot Point, TX 76258
Phone (940) 686-0123

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1801955273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912407",
            "telephone_number": "903-893-0677",
            "fax_number": "903-893-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N HIGHWAY 377",
            "address_2": "STE 100",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "76258",
            "telephone_number": "940-686-0123",
            "fax_number": "940-686-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT POINT PHARMACY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "HINDSLEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "903-893-0677"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099887",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PELZELS HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PELZELS HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pelzel's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pilot Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.