Organization Active NPI

Dormonts Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1124318092
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482110 Issued in PA
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

Updated by the provider on Mar 8, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2129976OtherPK

Other names 1

  • YOUR HOMETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.