Provider Demographics
NPI:1942379367
Name:HUGHES PHARMACY SERVICES INC.
Entity Type:Organization
Organization Name:HUGHES PHARMACY SERVICES INC.
Other - Org Name:HUGHES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HOYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:712-852-2886
Mailing Address - Street 1:2216 MAIN ST
Mailing Address - Street 2:BOX 166
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-2447
Mailing Address - Country:US
Mailing Address - Phone:712-852-2886
Mailing Address - Fax:712-852-2534
Practice Address - Street 1:2216 MAIN ST
Practice Address - Street 2:BOX 166
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536-2447
Practice Address - Country:US
Practice Address - Phone:712-852-2886
Practice Address - Fax:712-852-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6493336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0086629Medicaid
IA0086629Medicaid