Hometown Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481596 Issued in PA

Legal business name

HOMETOWN DRUG LLC

Doing business as

Hometown Drug

Practice address

411 Main St
Brockway, PA 15824-1324

Phone

(814) 265-0060

Fax

(814) 265-0605

NPI assigned

Jul 6, 2006

Last updated

Apr 12, 2011By 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

Chris Ruby, B.S. PHARMACY

Title

Owner

Phone

(814) 265-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOMETOWN DRUG Doing business as

Locations

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.

• Jacient D. Bray, R. PH.

  • Pharmacist
  • Brockway, PA
  • NPI 1932232683
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1265463335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241324",
            "telephone_number": "814-265-0060",
            "fax_number": "814-265-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241324",
            "telephone_number": "814-265-0060",
            "fax_number": "814-265-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-265-0050",
        "authorized_official_credential": "B.S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3986354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoe Danielle Hawkins, DO
• Highland View Opco, LLC (Highland View Healthcare and Rehabilitation Center)
• Highland View Rehabilitation & Healthcare Center LLC
• Judith T Himes, PT
• Megan Marie Hoffman, M.S. CCC-SLP
• Jordan Marie Inzana
• James Edward Devlin
• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Amy Lynn Klaiber, PT
• Willis Todd Leavitt, MD

• Community/Retail Pharmacy in Brockway, PA
• Providers in Brockway, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.