HOME TOWN PHARMACY INC (NPI# 1104467323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104467323 |
| Entity Type | Organization |
| Organization Name | HOME TOWN PHARMACY INC |
| Practice Address |
60 E 82nd St Newaygo MI 49337-8005 |
| Mailing Address |
Po Box 884 Newaygo MI 49337-0884 |
| Practice Telephone | 2316527810 |
| Practice Fax Number | 2316527876 |
| Mailing Telephone | 2315278106 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR) |
| Authorized Official Telephone | 2316527810 |
| Authorized Official Credential | PHARM D., MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| 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 |
| 1184264889 | Home Town Pharmacy Inc | Pharmacy | 2355 E Stadium Blvd, Ann Arbor, MI 48104-4800 | 2020-01-10 |
| Street Address |
60 E 82ND ST |
| City | NEWAYGO |
| State | MI |
| Zip Code | 49337-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144545732 | Richard Ingersoll | Pharmacist | 60 E 82nd St, Newaygo, MI 49337-8005 | 2010-04-07 |
| 1134644461 | Brittany Kinney | Pharmacist | 60 E 82nd St, Newaygo, MI 49337-8005 | 2017-08-08 |
| 1114269107 | Jonathan Allen Grice | Pharmacist | 60 E 82nd St, Newaygo, MI 49337-8005 | 2013-03-18 |
| 1487904736 | Rebekah Lyn Desarmo | Pharmacist | 60 E 82nd St, Newaygo, MI 49337-8005 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907824 | Community Hospice, Inc | Hospice Care, Community Based | 181 West River Valley, Newaygo, MI 49337 | 2019-11-21 |
| 1295289973 | Kayla Rose Smith | Social Worker | 232 E 82nd St., Newaygo, MI 49337 | 2016-08-10 |
| 1952674954 | Herminigilda Dadulia Delantar | Physical Therapist | 211 W Pine Lake Drive, Newaygo, MI 49337 | 2012-02-22 |
| 1194982355 | Gale Ann Beach | Social Worker | 12 W Wood, Newaygo, MI 49337 | 2008-05-16 |
| 1275652224 | Jackie Ann Malsom | Social Worker | 12 West Wood, Newaygo, MI 49337 | 2007-03-29 |
| 1841318755 | Joyce Marie Dykstra | Psychologist | 12 W Wood St, Newaygo, MI 49337 | 2007-03-27 |
| 1689726531 | Ronald Paul Leyder | Dentist | 7166 S Croton Hardy Drive, Newaygo, MI 49337 | 2007-01-18 |
| 1356434849 | Melinda Meendering | Physical Therapist | 194 E 82nd St, Newaygo, MI 49337 | 2006-10-02 |
| 1528168929 | Susan Magee Wente | Advanced Practice Midwife | 116 W Northland Drive, Newaygo, MI 49337 | 2006-09-25 |
| 1043263825 | Shopko Stores Operating Co LLC | Pharmacy | 91 Pine Lake Dr, Newaygo, MI 49337 | 2006-05-19 |
| Find all providers in zip 49337 | ||||
| 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 |
|---|---|---|---|---|
| 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.