Organization Active NPI

Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • New Buffalo, MI
National Provider Identifier
1275610263
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010788 Issued in MI
Legal business name
HOMETOWN PHARMACY INC
Practice address
1 N Whittaker St
New Buffalo, MI 49117-1135
Phone
(269) 469-3636
Fax
(269) 469-3279
NPI assigned
Nov 1, 2006
Organization subpart
Yes
Parent organization
HOMETOWN PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010788 MI Primary

Addresses

Primary practice location

1 N Whittaker St
New Buffalo, MI 49117-1135

Mailing address

4171 S Oceana Dr
New Era, MI 49446-9781
Phone (231) 861-6900

Other identifiers 2

IdentifierTypeStateIssuer
2509352MedicaidMI
2156080OtherPK

Other names 1

  • Hometown Pharmacy #50 - New Buffalo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Locations

1 N Whittaker St
New Buffalo, MI 49117
Phone (269) 469-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1275610263",
    "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": "1 N WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171135",
            "telephone_number": "269-469-3636",
            "fax_number": "269-469-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN PHARMACY INC",
        "enumeration_date": "2006-11-01",
        "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": "5301010788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509352",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy #50 - New Buffalo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Pharmacy #50 - New Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Buffalo, 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.

Verify at the official NPI Registry.