HOME TOWN PHARMACY INC (NPI# 1184264889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184264889 |
| Entity Type | Organization |
| Organization Name | HOME TOWN PHARMACY INC |
| Practice Address |
2355 E Stadium Blvd Ann Arbor MI 48104-4800 |
| Mailing Address |
Po Box 884 Newaygo MI 49337-0884 |
| Practice Telephone | 7347478080 |
| Practice Fax Number | 7346626799 |
| Mailing Telephone | 2316527810 |
| Mailing Fax Number | 2316527876 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINSITRATOR) |
| Authorized Official Telephone | 2316527810 |
| Authorized Official Credential | PHARM D., MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | HOME TOWN PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CONTROLLED SUBSTANCE | 5315062763 | 01 |
| MI | BOARD OF PHARMACY | 5301010195 | 01 |
| Other Name | Type Code |
|---|---|
| HomeTown Pharmacy #40 - Ann Arbor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
| 1982701868 | Home Town Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5277 Lapeer Rd, Kimball, MI 48074 | 2006-09-20 |
| 1659335172 | Home Town Pharmacy Inc | Pharmacy | 133 E Division, Sparta, MI 49345 | 2006-04-13 |
| 1275173841 | Home Town Pharmacy Inc | Pharmacy | 606 N Main St, Mishawaka, IN 46545-6620 | 2020-01-13 |
| 1447890017 | Home Town Pharmacy Inc | Pharmacy | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2020-01-13 |
| 1356981922 | Home Town Pharmacy Inc | Pharmacy | 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607 | 2020-01-13 |
| 1558901124 | Home Town Pharmacy Inc | Pharmacy | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2020-01-13 |
| 1104467323 | Home Town Pharmacy Inc | Pharmacy | 60 E 82nd St, Newaygo, MI 49337-8005 | 2019-09-30 |
| Street Address |
2355 E STADIUM BLVD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639284664 | Kundrat Prescriptions LLC | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2006-08-20 |
| 1528484797 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2014-03-12 |
| 1801154398 | Nicholas S Stamos | Pharmacist | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2012-05-02 |
| 1871879668 | Eileen Kundrat | Occupational Therapist | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2011-10-25 |
| 1265575179 | Hometown Pharmacy Inc | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
| 1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
| 1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
| 1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
| 1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
| 1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
| 1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
| 1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
| 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.