Carthage Pharmacy Services Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

2004011847 Issued in MO

Legal business name

CARTHAGE PHARMACY SERVICES INC

Doing business as

Hometown Pharmacy #4

Practice address

606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100

Phone

(417) 466-2000

Fax

(417) 466-2028

NPI assigned

Sep 26, 2006

Last updated

Nov 14, 2022By 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

Charles Davin Vaughn, RPHNPI 1770914632

Title

President/Owner

Phone

(417) 461-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hometown Pharmacy #4 Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Curbie LLC

  dba Butler Hometown Pharmacy

  • Community/Retail Pharmacy
  • Butler, MO
  • NPI 1265525059

  O20070116000149

  Same enrollment
• Martin Pharmacy Services, LLC

  dba Wilkinson Pharmacy

  • Community/Retail Pharmacy
  • Carthage, MO
  • NPI 1285728931

  O20070116000149

  Same enrollment

Locations

Practitioners 2

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.

• Charles Davin Vaughn, RPH

  • Pharmacist
  • Carthage, MO
  • NPI 1770914632
  NPD (past) Authorized official
• Tracy Lynn Layman, PHARM.D.

  • Pharmacist
  • Carthage, MO
  • NPI 1487705927
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1063513398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657120068",
            "telephone_number": "417-466-2000",
            "fax_number": "417-466-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MOUNT VERNON BLVD",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129100",
            "telephone_number": "417-466-2000",
            "fax_number": "417-466-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "417-461-7777",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2004011847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601917503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Butler Psychological Services, LLC
• Dwaine E Cales, DDS
• Cheryl Calvin, APRN, BC FNP
• Edward E Campbell, DDS
• Emily Carpenter
• Danielle Koren Carver, MA, LPC
• Tressie Casey
• Phyllis Fay Caudill-James, COTA/L
• Amanda J Chapman, MSN-NP
• Cheryl G Williams DO PC (Mt.Vernon Clinic)

• Pharmacy in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.