HALLETTSVILLE PHARMACY LLC
NPI 1043382849
Pharmacy - Community/Retail Pharmacy in Hallettsville, TX

Active since November 15, 2006CLIA 45D2196985 · Waiver
304 N TEXANA ST, HALLETTSVILLE, TX 77964(361) 798-5010(361) 798-1616 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Jul 19, 2018, Apr 17, 2018 and 1 more (4 updates tracked since 2016).

About Hallettsville Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALLETTSVILLE PHARMACY LLC (NPI 1043382849), doing business as Your Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Hallettsville, Texas and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 20, 2026 and lists Paula H Grahmann, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1043382849
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHALLETTSVILLE PHARMACY LLC
Location Address304 N TEXANA STHallettsville, TX 77964-2322
Mailing Address304 N Texana StHallettsville, TX 77964-2322 · (361) 798-5010 · Fax (361) 798-1616
Fax(361) 798-1616
Organization SubpartNo
Authorized OfficialPaula H GrahmannPresident / Owner · (361) 798-5010
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1043382849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 25318
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
304 N TEXANA ST, Hallettsville, TX 77964

Other Names 1

Doing Business AsYour Hometown Pharmacy

Other Identifiers 2

Medicaid145732TX
Other2099676Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2196985

Hallettsville Pharmacy · Hallettsville, TX
Active · expires Oct 20, 2026
CLIA Number45D2196985
Laboratory TypePharmacy
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorPaula H Grahmann
Laboratory Phone(361) 798-5010
Laboratory LocationHallettsville Pharmacy304 N Texana Street, Hallettsville, TX 77964
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
249 services246 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
238 services238 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
26 services26 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
26 services26 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
304 N TEXANA ST
HALLETTSVILLE, TX 77964
Pharmacist
304 N TEXANA ST
HALLETTSVILLE, TX 77964
Prosthetic/Orthotic Supplier
304 N TEXANA ST
HALLETTSVILLE, TX 77964
Pharmacist
304 N TEXANA ST
HALLETTSVILLE, TX 77964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hallettsville Pharmacy LLC's NPI number?

The NPI number for Hallettsville Pharmacy LLC is 1043382849. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Your Hometown Pharmacy.

Where is Hallettsville Pharmacy LLC located?

Hallettsville Pharmacy LLC is located at 304 N Texana St, Hallettsville, TX 77964. The listed phone number is (361) 798-5010.

What is Hallettsville Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Hallettsville Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2196985) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hallettsville Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 55 other insurers list Hallettsville Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hallettsville Pharmacy LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.