Organization Active NPI

Your Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Erie, PA
National Provider Identifier
1053597070
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481777 Issued in PA
Legal business name
YOUR HOMETOWN PHARMACY INC
Doing business as
YOUR HOMETOWN PHARMACY
Practice address
3106 Buffalo Rd
Erie, PA 16510-1772
Phone
(814) 898-2085
Fax
(814) 898-2086
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Byron Moon
Title
Owner
Phone
(814) 860-6338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481777 PA Primary

Addresses

Primary practice location

3106 Buffalo Rd
Erie, PA 16510-1772

Mailing address

3106 Buffalo Rd
Erie, PA 16510-1772
Phone (814) 898-2085

Other identifiers 1

IdentifierTypeStateIssuer
2082393OtherPK

Other names 1

  • YOUR HOMETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3106 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2085

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1053597070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101772",
            "telephone_number": "814-898-2085",
            "fax_number": "814-898-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101772",
            "telephone_number": "814-898-2085",
            "fax_number": "814-898-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOMETOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-860-6338"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUR HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.