1942379367 NPI number — HUGHES PHARMACY SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942379367 NPI number — HUGHES PHARMACY SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUGHES PHARMACY SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942379367
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2216 MAIN ST
Provider Second Line Business Mailing Address:
BOX 166
Provider Business Mailing Address City Name:
EMMETSBURG
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50536-2447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-852-2886
Provider Business Mailing Address Fax Number:
712-852-2534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2216 MAIN ST
Provider Second Line Business Practice Location Address:
BOX 166
Provider Business Practice Location Address City Name:
EMMETSBURG
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50536-2447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-852-2886
Provider Business Practice Location Address Fax Number:
712-852-2534
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOYMAN
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
712-852-2886

Provider Taxonomy Codes

  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 649 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0086629 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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