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

NPI Status: Active since July 21, 2025

Contact Information

216 CLAY ST
NOCONA, TX
ZIP 76255
Phone: (940) 825-3226

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 45D0942207
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-10-2028

About HENRIETTA PHARMACY, INC.

This page provides the complete NPI Profile along with additional information for Henrietta Pharmacy, Inc., a provider established in Nocona, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1104708387 assigned on July 2025. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mark Mathews Rph (President/owner)

NPI
1104708387
Provider Name
HENRIETTA PHARMACY, INC.
Entity Type
Organization
Location Address
216 CLAY ST NOCONA, TX 76255
Location Phone
(940) 825-3226
Mailing Address
216 CLAY ST NOCONA, TX 76255
Mailing Phone
(940) 825-3226
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-21-2025
Last Update Date
07-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK MATHEWS RPH

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(940) 538-4361

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0942207
Facility Type
Pharmacy
Certificate Effective Date
May 11, 2026
Certificate Expiration Date
May 10, 2028
Laboratory Director
MARK A. MATHEWS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Henrietta Pharmacy, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104708387, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 0 + 1 + 6 + 3 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104708387.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104708387, enumerated as an "organization" on July 21, 2025.

The provider is located at 216 CLAY ST NOCONA, TX 76255 and the phone number is (940) 825-3226.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.