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HEREFORD PHARMACY
NPI 1174782825
Pharmacy - Community/Retail Pharmacy in Hereford, TX

Active since June 07, 2008CLIA 45D1085235 · Waiver
809 S 25 MILE AVE, HEREFORD, TX 79045(806) 364-3400(806) 364-3405 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2021, Sep 25, 2020 (2 updates tracked since 2020).

About Hereford Pharmacy NPPES

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

HEREFORD PHARMACY (NPI 1174782825) is a healthcare organization registered as a community/retail pharmacy in Hereford, Texas and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Christina Marie Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1174782825
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEREFORD PHARMACY, LLC
Location Address809 S 25 MILE AVEHereford, TX 79045
Mailing Address809 S 25 Mile AveHereford, TX 79045-4801 · (806) 364-3400 · Fax (806) 364-3405
Phone(806) 364-3400
Fax(806) 364-3405
Organization SubpartNo
Authorized OfficialChristina Marie MooreOwner · (806) 995-3551
Enumeration DateJune 7, 2008
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1174782825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 26063
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 · License 6298500001 (TX)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 26063 (TX)
809 S 25 MILE AVE, Hereford, TX 79045
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Other Names 1

Doing Business AsHereford Pharmacy

Other Identifiers 2

OtherPH0660Medicare
Other6298500001Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 45D1085235

Hereford Pharmacy LLC · Hereford, TX
Active · expires Jun 11, 2028
CLIA Number45D1085235
Laboratory TypePharmacy
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorBrent L. Dance
Laboratory Phone(806) 364-3400
Laboratory LocationHereford Pharmacy LLC809 S 25 Mile Ave, Hereford, TX 79045
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 5

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.
173 services173 patients
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.
93 services93 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.
72 services72 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.
15 services15 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.
15 services15 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.

DR. BRENT LANE DANCE PHARM.D.
Pharmacist
809 S 25 MILE AVE, HEREFORD PHARMACY
HEREFORD, TX 79045
Deaf Smith County (806) 364-3400
DR. KIMBERLY DAWN MONTGOMERY PHARMD-RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
809 S 25 MILE AVE
HEREFORD, TX 79045
Deaf Smith County (806) 364-3400
HEREFORD PHARMACY, LLC
Pharmacy (Long Term Care Pharmacy)
809 S 25 MILE AVE
HEREFORD, TX 79045
Deaf Smith County (806) 364-3400
LAURA ANN SCHENK PHARMD
Pharmacist
809 S 25 MILE AVE
HEREFORD, TX 79045
Deaf Smith County (806) 364-3400

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 Hereford Pharmacy, LLC's NPI number?

The NPI number for Hereford Pharmacy, LLC is 1174782825. It was assigned to this organization in the NPPES registry on June 7, 2008.

Where is Hereford Pharmacy, LLC located?

Hereford Pharmacy, LLC is located at 809 S 25 Mile Ave, Hereford, TX 79045. The listed phone number is (806) 364-3400.

What is Hereford Pharmacy, LLC's specialty?

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

Does Hereford Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1085235) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hereford 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 Hereford 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 Hereford Pharmacy, LLC was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.