NPIMap

Organization Active NPI

Palestine Pharmacy LLC

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Palestine, TX
National Provider Identifier
1265591135
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4536655 Issued in TX
Legal business name
PALESTINE PHARMACY LLC
Doing business as
Hometown Pharmacy
Practice address
101 Medical Dr
Palestine, TX 75801-4781
Phone
(903) 729-3100
Fax
(903) 729-3104
NPI assigned
Dec 7, 2006
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Mr. George Layne Vannoy, RPHNPI 1801454020
Title
Owner Manager
Phone
(903) 729-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4536655 TX Primary

Addresses

Primary practice location

101 Medical Dr
Palestine, TX 75801-4781

Mailing address

101 Medical Dr
Palestine, TX 75801-4781
Phone (903) 729-3100

Other identifiers 4

IdentifierTypeStateIssuer
25988OtherTXSTATE BOARD OF PHARMACY
4536655OtherTXNABP(NCPDP)
145901MedicaidTX
M0158082OtherTXDPS

Other names 1

  • Hometown Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palestine Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Medical Dr
Palestine, TX 75801
Phone (903) 729-3100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1265591135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-729-3100",
            "fax_number": "903-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-729-3100",
            "fax_number": "903-729-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "VANNOY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "903-729-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "4536655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "25988",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP(NCPDP)",
            "identifier": "4536655",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "M0158082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.