Organization Active NPI

Hometown Pharmacy of Springfield, PLLC

  • Pharmacy
  • Springfield, KY
National Provider Identifier
1043900160
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HOMETOWN PHARMACY OF SPRINGFIELD, PLLC
Practice address
100 W Depot St
Springfield, KY 40069-1190
Phone
(859) 217-5050
Fax
(859) 217-5051
NPI assigned
May 11, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Meleigha Milby, PHARMD
Title
Ceo
Phone
(270) 789-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

100 W Depot St
Springfield, KY 40069-1190

Mailing address

100 W Depot St
Springfield, KY 40069-1190
Phone (859) 217-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240209000549 KY Part B Supplier - Pharmacy 8123461886 Practice locations: Springfield, KY

National Provider Directory

National Provider Directory
Tax ID family
Hometown Pharmacy of Springfield PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1043900160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DEPOT ST",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691190",
            "telephone_number": "859-217-5050",
            "fax_number": "859-217-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DEPOT ST",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691190",
            "telephone_number": "859-217-5050",
            "fax_number": "859-217-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF SPRINGFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "MILBY",
        "authorized_official_first_name": "MELEIGHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-789-4663",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.