Hometown Pharmacy-Peculiar LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HOMETOWN PHARMACY-PECULIAR LLC

Practice address

501 Schug Ave
Peculiar, MO 64078-9108

Phone

(660) 707-3972

Fax

(660) 646-4838

NPI assigned

Feb 21, 2014

Last updated

Oct 25, 2016By 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

Mr. Mike Palmer

Title

Owner

Phone

(660) 646-7455

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jocelyn Mandy Chancery, PHARMD

  • Pharmacist
  • Peculiar, MO
  • NPI 1013389055
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1124443593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "address_2": "601 LOCUST ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011045",
            "telephone_number": "660-707-3972",
            "fax_number": "660-646-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SCHUG AVE",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789108",
            "telephone_number": "660-707-3972",
            "fax_number": "660-646-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY-PECULIAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-646-7455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gomez, RN
• Christy Grimes, MSW, LCSW
• Kimberly Marie Halliday, MC CCC SLP
• Derek Michael Haug, DC
• Melinda Hedges, OTR
• Amethyst Hughes, PHARMD
• Kansas City Surgical Assisting, Inc.
• Amy Ann Leizer, MA CCC SLP
• Elizabeth Marie Lovell, PTA
• Shauna K Lyon

• Pharmacy in Peculiar, MO
• Providers in Peculiar, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.