HOMETOWN PHARMACY INC (NPI# 1215014311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215014311 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY INC |
| Other Organization Name | SHELBY PHARMACY |
| Practice Address |
178 N Michigan Ave Shelby MI 49455-1028 |
| Practice Telephone | 2318614341 |
| Practice Fax Number | 2318616609 |
| Mailing Telephone | 2318614341 |
| Mailing Fax Number | 2318616609 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| Authorized Official Telephone | 2316527810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005684 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1215014311 | 05 | |
| PK | 2119693 | 01 |
| Other Name | Type Code |
|---|---|
| SHELBY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208483 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5866 Harvey St, Muskegon, MI 49444-6720 | 2016-03-28 |
| 1295071082 | Hometown Pharmacy Inc | Pharmacy | 50 E 82nd St, Newaygo, MI 49337-8005 | 2012-12-24 |
| 1700074713 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 39023 Harper Ave, Clinton Township, MI 48036-3226 | 2007-10-04 |
| 1720120173 | Hometown Pharmacy Inc | Pharmacy | 2228 Albert Pike Rd Ste B, Hot Springs, AR 71913-4089 | 2007-02-13 |
| 1457408916 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3270 M 65, Hale, MI 48739-8509 | 2007-01-05 |
| 1922163351 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1 S Washington St, Oxford, MI 48371-4978 | 2006-12-26 |
| 1275610263 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1 N Whittaker St, New Buffalo, MI 49117-1135 | 2006-11-01 |
| 1396821377 | Hometown Pharmacy Inc | Pharmacy | 17717 174th Ave, Spring Lake, MI 49456 | 2006-10-31 |
| 1144304890 | Hometown Pharmacy Inc | Pharmacy | 730 West Shaw, Howard City, MI 49329 | 2006-10-25 |
| 1851475446 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1114 W South Airport Road, Traverse City, MI 49686-4739 | 2006-10-24 |
| Street Address |
178 N MICHIGAN AVE |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| 1598806242 | Rebecca Lynn Smith | Pharmacy Technician | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053302810 | Loren S Reed | Surgery | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| 1578939807 | Cynthia Guerrero | Community Health Worker | 217 N Michigan Ave, Shelby, MI 49455-1068 | 2015-08-21 |
| 1184264327 | Daniel James Erickson | Physician Assistant | 71 Bevier St, Shelby, MI 49455-1209 | 2020-01-15 |
| Find all providers in zip 49455 | ||||
| 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 |
|---|---|---|---|---|
| 1972776573 | Shelby Drugstore, Inc. | Pharmacy | 701-1 East Grover Street, Shelby, NC 28150 | 2008-04-04 |
| 1548395825 | Shelby Drug Co Inc Hwy 61 South | Pharmacy | 1211 Broadway Hwy 61 So, Shelby, MS 38774 | 2007-02-23 |
| 1972606663 | North Carolina Cvs Pharmacy LLC | Pharmacy | 105 E College Ave, Shelby, NC 28152-9543 | 2006-09-07 |
| 1649683913 | Heather Ruhl | Pharmacy | 11 Mansfield Ave, Shelby, OH 44875-1367 | 2014-06-04 |
| 1871928325 | Ingles Markets Inc | Pharmacy | 1818 W Dixon Blvd, Shelby, NC 28152-4351 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| 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.