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Export Provider Record NPI 1356981922
Home Town Pharmacy Inc
Organization Subpart: YES
Active
NPI Number1356981922
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1356981922
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-01-13
Last Updated2023-03-07
Authorized OfficialRebekah Desarmo
Executive Operations Administrator
Phone: 2316527810
Mailing AddressPo Box 884
Newaygo, MI 49337-0884
United States
Phone: (231) 652-7810 | Fax: (231) 652-7876
📍 View Map
Primary Practice Address4252 Kalamazoo Ave Se
Grand Rapids, MI 49508-3607
United States
Phone: (616) 281-1323 | Fax: (616) 281-1330
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MI5301010897Board of Pharmacy
Other (non-Medicare)MI5315074625Controlled Substance
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336L0003X – Pharmacy, Long Term Care Pharmacy--
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About NPI 1356981922

Home Town Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356981922. The primary specialty listed is Pharmacy, Long Term Care 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 2020-01-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1356981922?

NPI 1356981922 belongs to Home Town Pharmacy Inc, a Pharmacy, Long Term Care Pharmacy in Grand Rapids, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1356981922 active?

The current status of NPI 1356981922 in the NPPES registry is Active. The record was last updated on 2023-03-07.

What specialty is NPI 1356981922?

NPI 1356981922 is classified under the taxonomy Pharmacy, Long Term Care 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 1356981922?

You can verify NPI 1356981922 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 1356981922?

The primary practice address on file for NPI 1356981922 is 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1356981922 issued?

NPI 1356981922 was first issued (enumerated) on 2020-01-13. The NPPES record was last updated on 2023-03-07.

Practice Location Map

Home Town Pharmacy Inc is located at 4252 Kalamazoo Ave Se, Grand Rapids, MI. Use the map below to find directions or verify the practice location.

📍 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Home Town Pharmacy Inc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162