Active NPI
Dormonts Hometown Pharmacy Inc
- Community/Retail Pharmacy
- Pittsburgh, PA
National Provider Identifier
1124318092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482110
- Legal business name
- DORMONTS HOMETOWN PHARMACY INC
- Practice address
- 2897 W Liberty Ave
Pittsburgh, PA 15216-2619 - Phone
- (412) 306-9950
- Fax
- (412) 603-9954
- NPI assigned
- Apr 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron Moon
- Title
- President
- Phone
- (814) 860-6338
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP482110 | PA | Primary |
Addresses
Primary practice location
2897 W Liberty Ave
Pittsburgh, PA 15216-2619
Mailing address
2897 W Liberty Ave
Pittsburgh, PA 15216-2619
Phone (412) 306-9950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129976 | Other | PK |
Other names 1
- YOUR HOMETOWN PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457395200000",
"number": "1124318092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2897 W LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152162619",
"telephone_number": "412-306-9950",
"fax_number": "412-603-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2897 W LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152162619",
"telephone_number": "412-306-9950",
"fax_number": "412-603-9954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORMONTS HOMETOWN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-13",
"last_updated": "2016-03-08",
"status": "A",
"authorized_official_last_name": "MOON",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "PRESIDENT",
"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": "PP482110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129976",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YOUR HOMETOWN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.