FHC Medicaid Pharmacy – Community/Retail Pharmacy, NPI 1245569201

FHC Medicaid Pharmacy is a healthcare provider. based in Waco, Texas. specializing in Community/Retail Pharmacy. The organization holds a License No. 20143 (TX). The NPI Number for FHC Medicaid Pharmacy is 1245569201

Main info

Organization
Name
FHC Medicaid Pharmacy
NPI
1245569201
Phone
(254) 313-6030
Address
1800 GURLEY LN STE 101
Authorized Official
DR. MATTHEW POLK CHIEF OPERATING OFFICER PHD
Enumeration Date
21 December 2009
Last Update Date
2 July 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness90
Years active:16State licenses:1Digital endpoints

Provider Addresses for FHC Medicaid Pharmacy

  • 1800 GURLEY LN STE 101

    WACO, TX 767064025

    Phone: (254) 313-6030

    Fax: (254) 312-6108

    Type: Location

  • 1600, Providence Drive, Waco, McLennan County, Texas, 76707, United States

    SUITE 201

    WACO, TX 767072261

    Phone: (254) 313-4307

    Fax: (254) 313-4467

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76706)

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Reviews

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Frequently asked questions

What number should I use to identify FHC Medicaid Pharmacy for billing?
Administrative and clinical systems typically use NPI 1245569201 for FHC Medicaid Pharmacy.
Is FHC Medicaid Pharmacy currently accepting referrals based on NPI status?
Registry metadata lists FHC Medicaid Pharmacy as active.
What services align with FHC Medicaid Pharmacy's listing?
FHC Medicaid Pharmacy's public classification highlights Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FHC Medicaid Pharmacy?
FHC Medicaid Pharmacy is associated with Waco, Texas in the same public data insurers reference.
Can I export FHC Medicaid Pharmacy's record?
You can download the official NPPES record; we summarize key fields for readability.

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