NPIMap

Organization Active NPI

Hometown Village Pharmacy LLC

Doing business as Hometown Village Pharmacy

  • Community/Retail Pharmacy
  • Tamaqua, PA
National Provider Identifier
1114224193
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482124 Issued in PA
Legal business name
HOMETOWN VILLAGE PHARMACY LLC
Doing business as
Hometown Village Pharmacy
Practice address
220 Claremont Ave
Suite #2
Tamaqua, PA 18252-4460
Phone
(570) 668-1900
Fax
(570) 668-8812
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Louis RubinoNPI 1720385701
Title
Pharmacist/Owner
Phone
(570) 668-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482124 PA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

220 Claremont Ave
Suite #2
Tamaqua, PA 18252-4460

Mailing address

220 Claremont Ave
Suite #2
Tamaqua, PA 18252-4460
Phone (570) 668-1900

Other identifiers 2

IdentifierTypeStateIssuer
1025609390001MedicaidPA
2129588OtherPK

Other names 1

  • Hometown Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1114224193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CLAREMONT AVE",
            "address_2": "SUITE #2",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524460",
            "telephone_number": "570-668-1900",
            "fax_number": "570-668-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CLAREMONT AVE",
            "address_2": "SUITE #2",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524460",
            "telephone_number": "570-668-1900",
            "fax_number": "570-668-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "RUBINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "570-668-1900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482124",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025609390001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.