HOMETOWN PHARMACY OF MEDINA LLC (NPI# 1124159058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124159058 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY OF MEDINA LLC |
| Other Organization Name | MEDINA MAIN STREET PHARMACY |
| Practice Address |
107 S Main St Medina TN 38355-9702 |
| Mailing Address |
Po Box 310 Medina TN 38355-0310 |
| Practice Telephone | 7317830777 |
| Practice Fax Number | 7317833005 |
| Mailing Telephone | 7317830777 |
| Mailing Fax Number | 7317833005 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | DONNA ROBBINS (PHARMACIST AND OWNER) |
| Authorized Official Telephone | 7317830777 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4079 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4437693 | 01 |
| Other Name | Type Code |
|---|---|
| Medina Main Street Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689858821 | Hometown Pharmacy of Medina LLC | Durable Medical Equipment & Medical Supplies | 609 Hwy 45 Bypass, Medina, TN 38355 | 2007-12-24 |
| Street Address |
107 S MAIN ST |
| City | MEDINA |
| State | TN |
| Zip Code | 38355-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454511 | Freds Stores of Tennessee Inc | Pharmacy | 211 Three Oaks Drive, Medina, TN 38355 | 2014-11-17 |
| 1023446051 | Three Oaks Pharmacy, LLC | Pharmacy | 259 Three Oaks Dr, Suite A, Medina, TN 38355 | 2013-10-30 |
| 1194097642 | Fuller Home Solutions LLC. | Durable Medical Equipment & Medical Supplies | 91 Milan Highway, Suite D, Medina, TN 38355 | 2012-01-30 |
| 1659662294 | Holly Monroe Wright | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2011-05-01 |
| 1124357173 | Brian S Patterson | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-21 |
| 1417102906 | First Choice Medical Care of Medina, Inc. | Clinic/Center | 605 Hwy 45 East, Medina, TN 38355 | 2008-11-25 |
| 1083755037 | Molly Lee | Optometrist | 25 Middle School Road, Medina, TN 38355 | 2007-02-11 |
| 1447300603 | Donna Boals Schlesinger | Pharmacist | 609 Hwy 45 Bypass, Medina, TN 38355 | 2007-01-11 |
| 1245740547 | Wright Dermatology, Pllc | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2017-10-02 |
| 1346579356 | Patterson Family Dentistry | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-22 |
| Find all providers in zip 38355 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454511 | Freds Stores of Tennessee Inc | Pharmacy | 211 Three Oaks Drive, Medina, TN 38355 | 2014-11-17 |
| 1639210560 | Riser Foods Company | Pharmacy | 870 N Court St, Medina, OH 44256-1719 | 2007-02-12 |
| 1548363203 | Ohio Cvs Stores LLC | Pharmacy | 401 S Elmwood St, Medina, OH 44256-2324 | 2006-09-07 |
| 1285117770 | Prescription Center of Medina, LLC | Pharmacy | 142 E Center St, Medina, NY 14103-1690 | 2018-09-11 |
| 1225531171 | Discount Drug Mart Inc | Pharmacy | 211 Commerce Dr, Medina, OH 44256-1331 | 2018-03-16 |
| 1881069771 | Rite Aid | Pharmacy | 207 N Court St, Medina, OH 44256-1963 | 2015-12-03 |
| 1275944241 | Gentry Health Services Inc | Pharmacy | 1090 Enterprise Dr, Medina, OH 44256-1328 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.