HOME TOWN PHARMACY INC (NPI# 1558901124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558901124 |
| Entity Type | Organization |
| Organization Name | HOME TOWN PHARMACY INC |
| Practice Address |
110 S Clinton St Stockbridge MI 49285-9148 |
| Mailing Address |
Po Box 884 Newaygo MI 49337-0884 |
| Practice Telephone | 5178517575 |
| Mailing Telephone | 2316527810 |
| Mailing Fax Number | 2316527876 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| 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 | BOARD OF PHARMACY LICENSE | 5301007836 | 01 |
| MI | CONTROLLED SUBSTANCE | 5315016511 | 01 |
| Other Name | Type Code |
|---|---|
| Stockbridge Pharmacy | 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 |
| 1184264889 | Home Town Pharmacy Inc | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2020-01-10 |
| 1104467323 | Home Town Pharmacy Inc | Pharmacy | 60 E 82nd St, Newaygo, MI 49337-8005 | 2019-09-30 |
| Street Address |
110 S CLINTON ST |
| City | STOCKBRIDGE |
| State | MI |
| Zip Code | 49285-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376507897 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2006-04-13 |
| 1467561472 | David C. Bust | Pharmacist | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822631 | Mark K Taylor | Specialist | 110 Maple, Stockbridge, MI 49285 | 2017-03-13 |
| 1952522591 | Heather Michelle Adiska | Dentist | 100 West Main, Stockbridge, MI 49285 | 2007-05-01 |
| 1811060965 | Stockbridge Area Emergency Services Authority | Clinic/Center | 125 S. Center St, Stockbridge, MI 49285 | 2006-11-16 |
| 1881737617 | Larry Ernest Porzsolt | General Practice | 300 W Main St, Stockbridge, MI 49285-0217 | 2007-02-14 |
| 1417929746 | Stockbridge Area Ambulance, Inc. | Clinic/Center | 125 S. Center St, Stockbridge, MI 49285-0336 | 2006-02-02 |
| 1447335690 | Chelsea Professional Services | Specialist | 4525 S M 52, Stockbridge, MI 49285-9465 | 2006-10-26 |
| 1235410762 | Erin Darlington | Family Medicine | 4525 S M 52, Stockbridge, MI 49285-9465 | 2011-08-29 |
| 1538548433 | Tara Machleit | Licensed Practical Nurse | 3930 Dexter Trl, Stockbridge, MI 49285-9470 | 2015-05-26 |
| 1558764985 | Shannon Sood | Licensed Practical Nurse | 4623 Chapman Rd, Stockbridge, MI 49285-9474 | 2014-09-30 |
| 1073730321 | Paul Herman Dobos | Dentist | 120 E Main St, Stockbridge, MI 49285-9482 | 2007-04-19 |
| Find all providers in zip 49285 | ||||
| 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 | ||||
| City | STOCKBRIDGE |
| Zip Code | 49285 |
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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.