HOMELAND PHARMACY #467
NPI 1124065644
Pharmacy in Bartlesville, OK

Active since June 01, 2006CLIA 37D2284627 · Waiver
2501 S.E. WASHINGTON, BARTLESVILLE, OK 74006(918) 335-2020(918) 335-2021 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Dec 2, 2019, Nov 4, 2019 (3 updates tracked since 2019).

About Homeland Pharmacy #467 NPPES

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

HOMELAND PHARMACY #467 (NPI 1124065644) is a healthcare organization registered as a pharmacy in Bartlesville, Oklahoma and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Josh Miller, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1124065644
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHAC, INC.
Location Address2501 S.E. WASHINGTONBartlesville, OK 74006
Mailing Address390 N.e. 36th St.Oklahoma City, OK 73105 · (405) 290-3421 · Fax (405) 290-3521
Fax(918) 335-2021
Organization SubpartYes
Authorized OfficialJosh MillerDirector Of Pharmacy · (405) 290-3423
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1124065644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OK · 9-5246
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2501 S.E. WASHINGTON, Bartlesville, OK 74006

Other Names 1

Doing Business AsHomeland Pharmacy #467

Other Identifiers 3

Medicaid200114207NOK
Other3718725Other Id Number-commercial Number
Other3718725OK · Ncpdp

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 37D2284627

Homeland Pharmacy #467 · Bartlesville, OK
Active · expires Jun 26, 2027
CLIA Number37D2284627
Laboratory TypePharmacy
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJill Welch
Laboratory Phone(918) 355-2020
Laboratory LocationHomeland Pharmacy #4672501 SE Washington St, Bartlesville, OK 74006
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
50 services50 patients

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 Hac, Inc.'s NPI number?

The NPI number for Hac, Inc. is 1124065644. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Homeland Pharmacy #467.

Where is Hac, Inc. located?

Hac, Inc. is located at 2501 S.E. Washington, Bartlesville, OK 74006. The listed phone number is (918) 335-2020.

What is Hac, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Hac, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2284627) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hac, Inc. 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 52 other insurers list Hac, Inc. 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 Hac, Inc. was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.