Provider Demographics
NPI:1538218847
Name:HOME PHARMACEUTICAL SERVICES, INC.
Entity type:Organization
Organization Name:HOME PHARMACEUTICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ONA
Authorized Official - Middle Name:KIRVEN
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:432-582-0337
Mailing Address - Street 1:800A E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4612
Mailing Address - Country:US
Mailing Address - Phone:432-582-0337
Mailing Address - Fax:432-332-0229
Practice Address - Street 1:800A E 7TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4612
Practice Address - Country:US
Practice Address - Phone:432-582-0337
Practice Address - Fax:432-332-0229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251F00000XAgenciesHome Infusion
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0004XSuppliersPharmacyCompounding Pharmacy
Not Answered3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4588919OtherNABP OR NCPDP
750126OtherBC-BS OF TX - IV PROVIDER
750126OtherBC-BS OF TX - IV PROVIDER