HOMETOWN PHARMACY INC (NPI# 1528484797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528484797 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY INC |
| Other Organization Name | HOMETOWN PHARMACY #40 - ANN ARBOR |
| Practice Address |
2355 E Stadium Blvd Ann Arbor MI 48104-4800 |
| Mailing Address |
2355 E. Stadium Blvd. Ann Arbor MI 48104 |
| Practice Telephone | 7347478080 |
| Practice Fax Number | 7346626799 |
| Mailing Telephone | 7347478080 |
| Mailing Fax Number | 7346626799 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | DR. REBEKAH L DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| Authorized Official Telephone | 2316527810 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOMETOWN PHARMACY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010195 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1528484797 | 05 | |
| PK | 2146559 | 01 |
| Other Name | Type Code |
|---|---|
| HomeTown Pharmacy #40 - Ann Arbor | 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 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 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 |
| 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 |
| 1184264889 | Home Town Pharmacy Inc | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2020-01-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1497014757 | Costco Wholesale Corporation | Pharmacy | 771 Airport Blvd, Ann Arbor, MI 48108 | 2012-05-08 |
| 1093002115 | Dix Boro Pharmacy PC | Pharmacy | 5770 Plymouth Rd, Ann Arbor, MI 48105-9312 | 2011-07-10 |
| 1275740219 | Salaman & Worthing Enterprises LLC | Pharmacy | 3280 Washtenaw Ave, Ste B, Ann Arbor, MI 48104-4250 | 2007-05-17 |
| 1861594103 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2228 S Main St, Ann Arbor, MI 48103-6935 | 2006-09-05 |
| 1417059700 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1700 S Industrial and Simpson, Ann Arbor, MI 48104 | 2006-09-05 |
| 1043322969 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3535 Plymouth Rd, Ann Arbor, MI 48105-2602 | 2006-08-31 |
| 1093827933 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2100 W Stadium Blvd, Ann Arbor, MI 48103-4544 | 2006-08-31 |
| 1538277900 | Village Apothecary Inc | Pharmacy | 1112 S University Ave, Ann Arbor, MI 48104-2522 | 2006-08-27 |
| 1639284664 | Kundrat Prescriptions LLC | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2006-08-20 |
| Find all providers in ANN ARBOR | ||||
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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.