HENRIETTA PHARMACY, INC.
NPI 1104708387
Pharmacy - Community/Retail Pharmacy in Nocona, TX

Active since July 21, 2025CLIA 45D0942207 · Waiver

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Henrietta Pharmacy, Inc. NPPES

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

HENRIETTA PHARMACY, INC. (NPI 1104708387), doing business as Nocona Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Nocona, Texas and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Mark Mathews, President/owner, as its authorized official.

NPPES Registry Identity

NPI1104708387
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHENRIETTA PHARMACY, INC.
Location Address216 CLAY STNocona, TX 76255-2104
Mailing Address216 Clay StNocona, TX 76255-2104 · (940) 825-3226
Organization SubpartYes
Authorized OfficialMark MathewsPresident/owner · (940) 538-4361
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1104708387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
216 CLAY ST, Nocona, TX 76255

Other Names 1

Doing Business AsNocona Pharmacy

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 45D0942207

Henrietta Pharmacy · Henrietta, TX
Active · expires May 10, 2028
CLIA Number45D0942207
Laboratory TypePharmacy
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorMark A. Mathews
Laboratory Phone(940) 538-4361
Laboratory LocationHenrietta Pharmacy124 N Bridge, Henrietta, TX 76365
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Henrietta Pharmacy, Inc.'s NPI number?

The NPI number for Henrietta Pharmacy, Inc. is 1104708387. It was assigned to this organization in the NPPES registry on July 21, 2025. The provider is doing business as Nocona Pharmacy.

Where is Henrietta Pharmacy, Inc. located?

Henrietta Pharmacy, Inc. is located at 216 Clay St, Nocona, TX 76255. The listed phone number is (940) 825-3226.

What is Henrietta Pharmacy, Inc.'s specialty?

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

Does Henrietta Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0942207) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Henrietta Pharmacy, Inc. was last updated on July 21, 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.