HOMETOWN PHARMACY (NPI# 1578653499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578653499 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PHARMACY |
| Other Organization Name | ROSE CITY PHARMACY |
| Practice Address |
300 W Washington Suite 110 Jackson MI 49202 |
| Mailing Address |
8901 Zion Rd Rives Junction MI 49277-9771 |
| Practice Telephone | 5177843430 |
| Practice Fax Number | 5177845822 |
| Mailing Telephone | 5175693617 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MRS. PATRICIA MAE MAXSON (CERTIFIED PHARMACY TECHNICIAN) |
| Authorized Official Telephone | 5177843430 |
| Authorized Official Credential | CPHT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Rose City Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376645499 | Hometown Pharmacy | Pharmacy | 201 E Commerce St, Fairfield, TX 75840-1509 | 2006-09-01 |
| 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 |
| 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 |
300 W WASHINGTON SUITE 110 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205931060 | Debra L Melling | Pharmacist | 300 W Washington, Suite 110, Jackson, MI 49201 | 2006-09-14 |
| 1235201732 | Hometown Pharmacy | Pharmacist | 300 W Washington, Rose City Pharmacy Ste 110, Jackson, MI 49201 | 2006-11-14 |
| 1811085913 | Susan Jean Town Richards | Pharmacy Technician | 300 W Washington, Ste 110, Jackson, MI 49201 | 2006-10-11 |
| 1952498685 | Rose City Family Practice PC | Family Medicine | 300 W Washington, Suite 150, Jackson, MI 49201-2113 | 2006-10-06 |
| 1528166436 | Debra A Stevenson | Pharmacist | 300 W Washington, Suite 110, Jackson, MI 49201 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1144874868 | Whitney Harris Drugs, Inc. | Pharmacy | 1200 Eastover Dr Ste 175, Jackson, MS 39211-6317 | 2019-07-31 |
| 1013576826 | Avita Drugs Mississippi, LLC | Pharmacy | 805 E River Pl Ste A, Jackson, MS 39202-3486 | 2019-06-06 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| 1215341623 | Rite Aid | Pharmacy | 702 Bennett Mills Road, Jackson, NJ 08527 | 2014-06-13 |
| 1134251812 | Main Midtown Inc | Pharmacy | 346 E Fortification St, Jackson, MS 39202-2325 | 2007-03-09 |
| 1003943176 | Ljc,inc Dba Stone Drug | Pharmacy | 830 West Broadway, Box 9000, Jackson, WY 83001 | 2007-02-27 |
| 1003968322 | Carel Pharmacy | Pharmacy | 2010 W County Line Rd, Jackson, NJ 08527-2001 | 2007-01-17 |
| 1316095573 | Gold Kimball International, Inc. | Pharmacy | 2080 W County Line Rd, Jackson, NJ 08527-2015 | 2007-01-06 |
| Find all providers in JACKSON | ||||
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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.