NPIMap

Organization Active NPI

Professional Specialized Pharmacies LLC

Doing business as Hometown Pharmacy #2

  • Pharmacy
  • Belle Vernon, PA
National Provider Identifier
1003814617
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP415631L Issued in PA
Legal business name
PROFESSIONAL SPECIALIZED PHARMACIES LLC
Doing business as
Hometown Pharmacy #2
Practice address
4627 Route 51
Suite 602
Belle Vernon, PA 15012-4010
Phone
(724) 379-6000
Fax
(724) 379-8548
NPI assigned
Jul 8, 2005
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mr. Shawn R. Nairn, RPHNPI 1093215113
Title
Director of Retail Operations
Phone
(412) 389-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP415631L PA Primary

Addresses

Primary practice location

4627 Route 51
Suite 602
Belle Vernon, PA 15012-4010

Mailing address

4627 Route 51
Suite 602
Belle Vernon, PA 15012-4010
Phone (724) 379-6000

Other identifiers 2

IdentifierTypeStateIssuer
100748856MedicaidPA
3977177OtherPANABP

Other names 1

  • Hometown Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1003814617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ROUTE 51",
            "address_2": "SUITE 602",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124010",
            "telephone_number": "724-379-6000",
            "fax_number": "724-379-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ROUTE 51",
            "address_2": "SUITE 602",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124010",
            "telephone_number": "724-379-6000",
            "fax_number": "724-379-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPECIALIZED PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "NAIRN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF RETAIL OPERATIONS",
        "authorized_official_telephone_number": "412-389-1250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415631L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748856",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3977177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.