Home Town Drug Stores Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11379 Issued in NC

Legal business name

HOME TOWN DRUG STORES INC

Practice address

423 E 2ND St
West Jefferson, NC 28694-9757

Phone

(336) 246-9990

Fax

(336) 246-6069

NPI assigned

Oct 3, 2006

Organization subpart

No

Name

Aletha Eller, PHARMDNPI 1336472059

Title

Ceo

Phone

(336) 246-9990

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

• Aletha Poplin Eller, PHARMD

  • Pharmacist
  • North Wilkesboro, NC
  • NPI 1336472059
  NPD Authorized official
• James Michael Badger, RPH

  • Pharmacist
  • West Jefferson, NC
  • NPI 1487721510
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2018.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1285728097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949757",
            "telephone_number": "336-246-9990",
            "fax_number": "336-246-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949757",
            "telephone_number": "336-246-9990",
            "fax_number": "336-246-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "ALETHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-246-9990",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "11379",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Hartzog, LCMHCA
• Cristina Elizabeth Henson, LCSW
• Heather M. Herman, NP
• High Country House Call
• Lauren Hogan
• Icenhour Therapy. PLLC
• Ingles Markets Inc
• Jenkins and Stopper, DDS, PA
• Alvin Phillips Jenkins, D.D.S.
• Jill Barr Johnson, RPH

• All providers in West Jefferson, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.