Provider Demographics
NPI:1104831932
Name:HME PHARMACY LP
Entity Type:Organization
Organization Name:HME PHARMACY LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-681-6665
Mailing Address - Street 1:7510 REINDEER TRAIL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238
Mailing Address - Country:US
Mailing Address - Phone:210-681-6665
Mailing Address - Fax:210-681-5341
Practice Address - Street 1:4410 DILLON LN
Practice Address - Street 2:#19
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415
Practice Address - Country:US
Practice Address - Phone:361-815-1398
Practice Address - Fax:361-854-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22800333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5092710001Medicare ID - Type Unspecified