Hometown Pharmacy of Medina LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4079 Issued in TN

Legal business name

HOMETOWN PHARMACY OF MEDINA LLC

Practice address

107 S Main St
Medina, TN 38355-9702

Phone

(731) 783-0777

Fax

(731) 783-3005

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Donna Robbins, DPH

Title

Pharmacist and Owner

Phone

(731) 783-0777

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Medina Main Street Pharmacy Doing business as

Locations

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.

• Hometown Pharmacy of Medina LLC

  • Durable Medical Equipment & Medical Supplies
  • Medina, TN
  • NPI 1689858821
  NPPES parent name

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1124159058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383550310",
            "telephone_number": "731-783-0777",
            "fax_number": "731-783-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559702",
            "telephone_number": "731-783-0777",
            "fax_number": "731-783-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF MEDINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "731-783-0777",
        "authorized_official_credential": "DPH"
    },
    "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": "TN",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4437693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ty Green, DDS
• Bethany Gail Hamilton
• Hart Eyes, PLLC
• Rachel Elizabeth Hart, OD
• Angela Marie Hobbs, D.C.
• Hometown Pharmacy of Medina LLC
• J&J Health Services, LLC
• Molly Lee, O.D.
• Jimmy R Lewis
• Martin Family Chiropractic

• Community/Retail Pharmacy in Medina, TN
• Providers in Medina, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.