HALLETTSVILLE PHARMACY – Community/Retail Pharmacy, NPI 1043382849
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HALLETTSVILLE PHARMACY
304, North Texana Street, Hallettsville, Lavaca County, Texas, 77964, United States
HALLETTSVILLE, TX 779642322
Phone: (361) 798-5010
Fax: (361) 798-1616
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
2
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070816000318 | O | Mass Immunization (Roster Biller Only) | TX | TBD |
| O20100930008858 | O | Pharmacy | TX | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 258 | 258 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 235 | 235 | $0 |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 70 | 70 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 63 | 63 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 63 | 63 | $0 |
Insurance plans in this area (ZIP 77964)
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