Active NPI
Hometown Pharmacy Inc
Doing business as HomeTown Pharmacy #33
- Community/Retail Pharmacy
- Ravenna, MI
National Provider Identifier
1174518716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009287
- Legal business name
- HOMETOWN PHARMACY INC
- Doing business as
- HomeTown Pharmacy #33
- Practice address
- 12441 Stafford Rd
Ravenna, MI 49451-9783 - Phone
- (231) 853-2261
- Fax
- (231) 853-6623
- NPI assigned
- Sep 20, 2005
- Last updated
- Jun 14, 2026
- Organization subpart
- Yes
- Parent organization
- HOMETOWN PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Lyn Desarmo, PHARM D., MBA
- Title
- VP of Finance
- Phone
- (231) 861-6902
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301009287 | MI | Primary |
Addresses
Primary practice location
12441 Stafford Rd
Ravenna, MI 49451-9783
Mailing address
4171 S Oceana Dr
New Era, MI 49446-9781
Phone (231) 861-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124358 | Other | PK |
Other names 1
- HomeTown Pharmacy #33
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080627000613 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668544107 |
This NPI is an additional NPI on the enrollment Practice locations: Shelby, MI; Muskegon, MI; New Buffalo, MI; New Era, MI; Newaygo, MI; Oxford, MI; Ravenna, MI; Reed City, MI… |
National Provider Directory
National Provider Directory- Part of
- Hometown Pharmacy Inc
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- New Era, MI
- NPI 1487904736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781395200000",
"number": "1174518716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 S OCEANA DR",
"city": "NEW ERA",
"state": "MI",
"postal_code": "494469781",
"telephone_number": "231-861-6900",
"fax_number": "231-861-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12441 STAFFORD RD",
"city": "RAVENNA",
"state": "MI",
"postal_code": "494519783",
"telephone_number": "231-853-2261",
"fax_number": "231-853-6623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOMETOWN PHARMACY INC",
"enumeration_date": "2005-09-20",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A",
"authorized_official_last_name": "DESARMO",
"authorized_official_first_name": "REBEKAH",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "231-861-6902",
"authorized_official_credential": "PHARM D., MBA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301009287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124358",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeTown Pharmacy #33",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HomeTown Pharmacy #33",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ravenna, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.