HOMETOWN PHARMACY (NPI# 1376645499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376645499 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY |
| Practice Address |
201 E Commerce St Fairfield TX 75840-1509 |
| Practice Telephone | 9033892541 |
| Mailing Telephone | 9033892541 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. VANCE JACKSON OGLESBEE (CORPORATE MANAGER) |
| Authorized Official Telephone | 9033892541 |
| Authorized Official Credential | R.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 4519647 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145177 | 05 | |
| TX | 150464901 | 05 | |
| TX | NABP | 4519647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972864999 | Hometown Pharmacy | Pharmacy | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2012-06-06 |
| 1467694950 | Hometown Pharmacy | Pharmacy | 69 W Main St, Gilbertown, AL 36908-2045 | 2009-03-30 |
| 1134282429 | Hometown Pharmacy | Pharmacy | 206 West 2nd Street, Dixon, MO 65459-0220 | 2006-12-18 |
| 1235201732 | Hometown Pharmacy | Pharmacist | 300 W Washington, Rose City Pharmacy Ste 110, Jackson, MI 49201 | 2006-11-14 |
| 1578653499 | Hometown Pharmacy | Pharmacy | 300 W Washington, Suite 110, Jackson, MI 49202 | 2006-10-13 |
| 1881780112 | Hometown Pharmacy | Pharmacy | 407 E Mcpherson Ave, Nashville, GA 31639-2274 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOMETOWN PHARMACY | 606 E Mt Vernon Blvd, Mount Vernon, MO 65712-9100 |
| Street Address |
201 E COMMERCE ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161822 | Christine Holt Moore | Pharmacist | 201 E Commerce St, Fairfield, TX 75840-1509 | 2016-01-07 |
| 1942634704 | Vance J Oglesbee | Pharmacist | 201 E Commerce St, Fairfield, TX 75840-1509 | 2013-08-29 |
| 1386883171 | Awalt-stephenson Drug | Pharmacy | 201 E Commerce St, Ste A, Fairfield, TX 75840-1509 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922440460 | Nudak Ventures LLC | Pharmacy | 2000d S Main St, Fairfield, IA 52556-9572 | 2013-07-25 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1932203510 | Lupes Drug Store Inc | Pharmacy | 2035 Black Rock Tpke, Fairfield, CT 06825-3550 | 2006-09-12 |
| 1073623625 | Costco Wholesale Corporation | Pharmacy | 5101 Business Center Dr, Fairfield, CA 94534 | 2006-08-30 |
| 1598776155 | Rem Corporation | Pharmacy | 765 Nilles Rd, Suite A, Fairfield, OH 45014-9302 | 2006-08-10 |
| 1093732372 | Wal-mart Stores East Lp | Pharmacy | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-07-16 |
| 1841222718 | Stop and Shop Supermarket Co LLC | Pharmacy | 1160 Kings Highway Cutoff, Fairfield, CT 06824-5271 | 2006-07-07 |
| 1295703403 | American Infusion Midatlantic Inc | Pharmacy | 353 Us Highway 46 # C, Fairfield, NJ 07004-2437 | 2006-03-14 |
| 1427661404 | Walgreens | Pharmacy | 2590 N Texas St, Fairfield, CA 94533-1606 | 2020-08-28 |
| 1700321288 | Sesser Pharmacy Si LLC | Pharmacy | 1116 W Main St, Fairfield, IL 62837-2324 | 2016-12-20 |
| Find all providers in FAIRFIELD | ||||
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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.