| NPI | 1215476395 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-02-22 |
| Last Updated | 2025-09-19 |
| Authorized Official | Waylon Haecker Owner/PIC/AO Phone: 2819150793 |
| Mailing Address | 16800 Greenspoint Park Dr Ste 160s Houston, TX 77060-2311 United States Phone: (317) 650-6768 | Fax: (281) 915-0793 📍 View Map |
| Primary Practice Address | 16800 Greenspoint Park Dr Ste 160s Houston, TX 77060-2311 United States Phone: (281) 915-0793 | Fax: (281) 915-0793 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 149605 | - |
| Other (non-Medicare) | - | 2168580 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | TX | 31288 |
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About NPI 1215476395
Haeckerville Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1215476395. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Houston, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-02-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215476395?
NPI 1215476395 belongs to Haeckerville Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in Houston, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215476395 active?
The current status of NPI 1215476395 in the NPPES registry is Active. The record was last updated on 2025-09-19.
What specialty is NPI 1215476395?
NPI 1215476395 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215476395?
You can verify NPI 1215476395 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215476395?
The primary practice address on file for NPI 1215476395 is 16800 Greenspoint Park Dr Ste 160s, Houston, TX 77060-2311. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215476395 issued?
NPI 1215476395 was first issued (enumerated) on 2017-02-22. The NPPES record was last updated on 2025-09-19.
Practice Location Map
Haeckerville Pharmacy Llc is located at 16800 Greenspoint Park Dr Ste 160s, Houston, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Haeckerville Pharmacy Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215476395. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 31288 | TX |