Hinkle Hometown Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07090 Issued in KY

Legal business name

HINKLE HOMETOWN DRUG STORE INC

Doing business as

Hinkle Hometown Drug Store Inc

Practice address

590 Old 25 E
Barbourville, KY 40906-7490

Phone

(606) 546-8860

Fax

(606) 545-6372

NPI assigned

Jun 19, 2006

Last updated

Jun 19, 2013By 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

Kristina Hinkle, PHARMD

Title

Owner, Pic

Phone

(606) 546-8860

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HINKLE HOMETOWN DRUG STORE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1114962552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 OLD 25 E",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067490",
            "telephone_number": "606-546-8860",
            "fax_number": "606-545-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 OLD 25 E",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067490",
            "telephone_number": "606-546-8860",
            "fax_number": "606-545-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINKLE HOMETOWN DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "606-546-8860",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5401112700",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINKLE HOMETOWN DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie D Hauser, PT, ATC, DPT
• Henry Spencer Hays, DMD
• Sabrina Marie Helton, APRN-BC
• Jennifer Lynn Henson, LPCA
• Amanda L Herrell, DO
• Jamie Hobbs, CADC
• Susan M. Hodge, P.A.-C.
• Shea Rae Dawn Hoffman
• Hope Speaks (Kristen Parsons)
• Timara L Hopkins

• Community/Retail Pharmacy in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.