Active NPI
Hometown Pharmacy LLC
Doing business as Glenwood South Pharmacy And Market
- Pharmacy
- Raleigh, NC
National Provider Identifier
1235933060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HOMETOWN PHARMACY LLC
- Doing business as
- Glenwood South Pharmacy And Market
- Practice address
- 401 Glenwood Ave Ste 101
Raleigh, NC 27603-1219 - Phone
- (919) 856-9502
- Fax
- (919) 615-0949
- NPI assigned
- Apr 2, 2025
- Last updated
- Apr 2, 2025
- 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
- CHI Trung Vu Huynh
- Title
- General Manager
- Phone
- (919) 856-9502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
401 Glenwood Ave Ste 101
Raleigh, NC 27603-1219
Mailing address
401 Glenwood Ave Ste 101
Raleigh, NC 27603-1219
Phone (919) 856-9502
Other names 1
- Glenwood South Pharmacy And Market
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240731000341 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2860939584 |
1 other NPI on this enrollment Practice locations: Raleigh, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Glenwood South Pharmacy and Market
- Community/Retail Pharmacy
- Raleigh, NC
- NPI 1982050670
O20240731000341
National Provider Directory
National Provider DirectoryLocations
401 Glenwood Ave
#101
Raleigh, NC 27603
Phone (610) 413-6869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1235933060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 GLENWOOD AVE STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031219",
"telephone_number": "919-856-9502",
"fax_number": "919-615-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GLENWOOD AVE STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031219",
"telephone_number": "919-856-9502",
"fax_number": "919-615-0949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "CHI TRUNG",
"authorized_official_middle_name": "VU",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "919-856-9502"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glenwood South Pharmacy And Market",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
- Homechoice of the Triangle, LLC
- Homechoice of Western Carolina, LLC
- Homegrown, PLLC (Homegrown Speech)
- Michelle M Homeister, MD
- Hometown Pediatric Therapy (Hometown Speech Therapy)
- Hometown Pharmacy LLC (Glenwood South Pharmacy and Market)
- Homewerks Home Care
- Andrea Lake Bingham Honeycutt, MD
- Ashley Miles Honeycutt, L.D.N., R.D.
- Kimberly C. Honeycutt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.