Organization Active NPI

Hometown Pharmacy of Richmond

  • Community/Retail Pharmacy
  • Richmond, KY
National Provider Identifier
1174220305
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMETOWN PHARMACY OF RICHMOND
Practice address
2002 Merchant Dr
Richmond, KY 40475-8167
Phone
(859) 421-9625
Fax
(877) 900-0464
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Mrs. Kirtiben Patel
Title
Owner
Phone
(859) 421-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2002 Merchant Dr
Richmond, KY 40475-8167

Mailing address

2002 Merchant Dr
Richmond, KY 40475-8167
Phone (859) 421-9625

Other identifiers 1

IdentifierTypeStateIssuer
P08269OtherKYPHARMACY PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030002706 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6103272927 Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

2002 Merchant Dr
Richmond, KY 40475
Phone (859) 267-6075

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1174220305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MERCHANT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758167",
            "telephone_number": "859-421-9625",
            "fax_number": "877-900-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MERCHANT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758167",
            "telephone_number": "859-421-9625",
            "fax_number": "877-900-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF RICHMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRTIBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-421-9625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P08269",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.