Sincererx Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SINCERERX HOMETOWN PHARMACY LLC

Practice address

715 1St Avenue
Kinder, LA 70648

Phone

(337) 738-2614

Fax

(337) 738-2523

NPI assigned

Jul 17, 2006

Last updated

Nov 18, 2021By 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

Peter Saad

Title

Manager

Phone

(318) 259-7334

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1235156704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 1ST AVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706483511",
            "telephone_number": "337-738-2614",
            "fax_number": "337-738-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 1ST AVENUE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "70648",
            "telephone_number": "337-738-2614",
            "fax_number": "337-738-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCERERX HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-259-7334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1931852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1931852",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207768",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charla Stagg Reid, APRN PNP
• Donna Lynn Roberts, FNP
• Thomas Jay Roberts, DC
• Carson Schniers, PT
• Amy Doguet Simon, PHARMD
• Laci Smalley, RD, LDN
• Michael Sonnier, PH.D.
• Stat Home Health of Southwest Louisiana LLC
• Therapy Solutions Inc
• Ejiro Edward Ughovwa, MD

• Community/Retail Pharmacy in Kinder, LA
• Providers in Kinder, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.