| NPI | 1053306845 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-09-16 |
| Last Updated | 2020-04-10 |
| Authorized Official | Rebekah Desarmo Executive Operations Administrator Phone: 2316527810 |
| Mailing Address | 1181 Walker Ave Nw Grand Rapids, MI 49504-7404 United States Phone: (616) 458-9640 | Fax: (616) 458-6650 📍 View Map |
| Primary Practice Address | 1181 Walker Ave Nw Grand Rapids, MI 49504-7404 United States Phone: (616) 458-9640 | Fax: (616) 458-6650 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1053306845 | — |
| Other (non-Medicare) | — | 2168102 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MI | 5301011126 |
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About NPI 1053306845
Hometown Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053306845. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Grand Rapids, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053306845?
NPI 1053306845 belongs to Hometown Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Grand Rapids, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053306845 active?
The current status of NPI 1053306845 in the NPPES registry is Active. The record was last updated on 2020-04-10.
What specialty is NPI 1053306845?
NPI 1053306845 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053306845?
You can verify NPI 1053306845 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053306845?
The primary practice address on file for NPI 1053306845 is 1181 Walker Ave Nw, Grand Rapids, MI 49504-7404. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053306845 issued?
NPI 1053306845 was first issued (enumerated) on 2005-09-16. The NPPES record was last updated on 2020-04-10.
Practice Location Map
Hometown Pharmacy Inc is located at 1181 Walker Ave Nw, Grand Rapids, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hometown Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053306845. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 5301011126 | MI |