HOME TOWN PHARMACY INC (NPI# 1982701868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982701868 |
| Entity Type | Organization |
| Organization Name | HOME TOWN PHARMACY INC |
| Other Organization Name | WADHAMS PHARMACY |
| Practice Address |
5277 Lapeer Rd Kimball MI 48074 |
| Practice Telephone | 8109848200 |
| Practice Fax Number | 8109841633 |
| Mailing Telephone | 8109848200 |
| Mailing Fax Number | 8109841633 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| Authorized Official Telephone | 2316527810 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOME TOWN PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301003574 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1982701868 | 01 | |
| MI | ROSTER BILLER | 0799520004 | 01 |
| NCPDP | 2330102 | 01 |
| Other Name | Type Code |
|---|---|
| Wadhams Pharmacy | Doing Business As Name - Organization |
| Wadhams Pharmacy | Former Legal Business 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 |
| 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 |
| 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 |
5277 LAPEER RD |
| City | KIMBALL |
| State | MI |
| Zip Code | 48074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447890017 | Home Town Pharmacy Inc | Pharmacy | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2020-01-13 |
| 1851491419 | William P White Jr. | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-24 |
| 1366542912 | Sherri Ann Lester | Pharmacy Technician | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-24 |
| 1861591828 | Karen J Hennesey | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-22 |
| 1942307830 | Dennis Albert Vollmer | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-20 |
| 1588762934 | Brenda Recker | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538036 | Marisa Robbi Dunlap | Behavior Technician | 631 Richman, 631 Richman, Smiths Creek, MI 48074 | 2019-09-30 |
| 1568930501 | Audrey Christine Hollen | Behavior Technician | 4652 Cloverdale Ln, Kimball, MI 48074 | 2018-11-07 |
| 1366894818 | Gaganjot Sandhu | Student in an Organized Health Care Education/Training Program | 16001 W. Nine Miler Road, Providence-providence Park Hospitals - Southfield, Southfield, MI 48074 | 2016-07-08 |
| 1912357526 | Ashlee Marie O'shell | Student in an Organized Health Care Education/Training Program | Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 | 2016-06-14 |
| 1730567371 | Scott J. Ferguson Dds & Associates Pllc | Dentist | 2837 Stable Drive, Ste A, Kimball, MI 48074 | 2015-05-15 |
| 1629387337 | Tamara Dawn Lynch | Veterinarian | 367 Wadhams Rd, Smiths Creek, MI 48074 | 2010-09-29 |
| 1932348737 | Lisa Marie Rottman Adamson | Physical Therapy Assistant | 1048 Broad Ax Lane, Kimball, MI 48074 | 2009-02-18 |
| 1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
| 1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
| 1003861055 | Gail Ann Cookingham | Allergy & Immunology | 2820 Stable Drive, Kimball, MI 48074 | 2006-05-24 |
| Find all providers in zip 48074 | ||||
| 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] |
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|---|---|---|---|---|
| 1932238714 | Walker Pharmacy Inc | Pharmacy | 129 S Chestnut St, Kimball, NE 69145-1256 | 2007-03-05 |
| 1821030602 | Home Oxygen Service, LLC | Pharmacy | 125 S Chestnut St, Kimball, NE 69145-1256 | 2006-06-13 |
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| 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.