Active NPI
Pej Inc
Doing business as Hometown Pharmacy
- Pharmacy
- Jackson, KY
National Provider Identifier
1154461309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P06982
- Legal business name
- PEJ INC
- Doing business as
- Hometown Pharmacy
- Practice address
- 95 Jackson Heights
Jackson, KY 41339 - Phone
- (606) 666-5500
- Fax
- (606) 666-5581
- NPI assigned
- Feb 7, 2007
- 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
- Mr. Everett L Dunaway, RPH.
- Title
- Owner
- Phone
- (606) 666-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | P06982 | KY | Primary |
Addresses
Primary practice location
95 Jackson Heights
Jackson, KY 41339
Mailing address
95 Jackson Heights
Jackson, KY 41339
Phone (606) 666-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1828675 | Other | KY | NAPB |
Other names 1
- HOMETOWN PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Family Pharmacy of Jackson
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ambulatory Care Pharmacist
- Jackson, KY
- NPI 1497348072
-
- Pharmacist
- Jackson, KY
- NPI 1073106084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1154461309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 JACKSON HEIGHTS",
"city": "JACKSON",
"state": "KY",
"postal_code": "41339",
"telephone_number": "606-666-5500",
"fax_number": "606-666-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 JACKSON HEIGHTS",
"city": "JACKSON",
"state": "KY",
"postal_code": "41339",
"telephone_number": "606-666-5500",
"fax_number": "606-666-5581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEJ INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "DUNAWAY",
"authorized_official_first_name": "EVERETT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-666-5500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P06982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAPB",
"identifier": "1828675",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HOMETOWN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.