Lindale Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009725 Issued in GA

Legal business name

LINDALE HOMETOWN PHARMACY LLC

Doing business as

Lindale Hometown Pharmacy

Practice address

3126 Maple Rd SE
Lindale, GA 30147-1307

Phone

(706) 235-0880

NPI assigned

Nov 2, 2010

Last updated

Feb 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy PattersonNPI 1144766148

Title

Owner/Pharmacist

Phone

(706) 235-0880

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lindale Hometown Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Patterson

  • Pharmacist
  • Cartersville, GA
  • NPI 1144766148
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1003116328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "LINDALE",
            "state": "GA",
            "postal_code": "301470208",
            "telephone_number": "706-235-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MAPLE RD SE",
            "city": "LINDALE",
            "state": "GA",
            "postal_code": "301471307",
            "telephone_number": "706-235-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDALE HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-235-0880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1160693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindale Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Christian Davis
• Bethany Duvall, IBCLC
• Katarina Williams Garland, CPNP-PC, BSN, RN
• Nadia Haas
• Highland Rivers Community Service Board
• Allen Prime, CADC I
• Redmond Physician Practice Company (Redmond Urgent Care of Lindale)
• Adriana Smith

• Community/Retail Pharmacy in Lindale, GA
• Providers in Lindale, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.