HOMETOWN PHARMACY INC (NPI# 1457319147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457319147 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY INC |
| Other Organization Name | HOMETOWN PHARMACY #28 |
| Practice Address |
3164 Lewis Ave Ida MI 48140-9703 |
| Mailing Address |
Po Box 884 Newaygo MI 49337-0884 |
| Practice Telephone | 7342699245 |
| Practice Fax Number | 7342692394 |
| Mailing Telephone | 2318616902 |
| Mailing Fax Number | 2316527876 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | FRED GRICE (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 7342699245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009209 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1687743 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2339489 | 01 |
| Other Name | Type Code |
|---|---|
| HomeTown Pharmacy #28 | 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 |
3164 LEWIS AVE |
| City | IDA |
| State | MI |
| Zip Code | 48140-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396807228 | James E Kramer | Pharmacist | 3164 Lewis Ave, Ida, MI 48140-9703 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598113847 | Angela Hines | Licensed Practical Nurse | 14007 Lulu Rd, Ida, MI 48140-9529 | 2016-05-26 |
| 1588071419 | Mary Ringel | Technician, Other | 2000 Morocco Rd, Ida, MI 48140-9531 | 2014-07-11 |
| 1225579048 | Analese Marie Ringel | Behavior Technician | 2000 Morocco Rd, Ida, MI 48140-9531 | 2017-03-13 |
| 1992895254 | Riga W Krueger | Dentist | 2906 Lewis Ave, Ida, MI 48140-9598 | 2006-10-14 |
| 1790299147 | Ida Public Schools | Case Management | 3145 Prairie St, Ida, MI 48140-9600 | 2017-11-21 |
| 1790788701 | Layth Maolood | Internal Medicine | 3160 Lewis Ave, Ida, MI 48140-9703 | 2005-05-23 |
| 1144831892 | Community Physicians Pllc | Physical Medicine & Rehabilitation | 3160 Lewis Ave, Ida, MI 48140-9703 | 2020-08-14 |
| 1831113414 | Alo Med Pllc | Clinic/Center | 3160 Lewis Ave, Ida, MI 48140-9703 | 2006-07-27 |
| 1194029991 | Adam Lee Anastasoff | Counselor | 13316 Ida Center Rd, Ida, MI 48140-9722 | 2011-01-07 |
| 1356526792 | Nicole M Lewis | Occupational Therapist | 5053 Jackman Rd, Ida, MI 48140-9742 | 2008-01-04 |
| Find all providers in zip 48140 | ||||
| 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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| 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.