Active NPI
Home Town Drug Stores Inc
- Community/Retail Pharmacy
- West Jefferson, NC
National Provider Identifier
1285728097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11379
- 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
- Last updated
- Mar 27, 2018
- 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
- Aletha Eller, PHARMD
- Title
- Ceo
- Phone
- (336) 246-9990
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 11379 | NC | |
| Community/Retail Pharmacy | 3336C0003X | 11379 | NC | Primary |
Addresses
Primary practice location
423 E 2ND St
West Jefferson, NC 28694-9757
Mailing address
423 E 2ND St
West Jefferson, NC 28694-9757
Phone (336) 246-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130903000816 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557504982 | Practice locations: West Jefferson, NC |
National Provider Directory
National Provider DirectoryLocations
423 E 2nd St
West Jefferson, NC 28694
Phone (336) 246-9990
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.
-
- Pharmacist
- North Wilkesboro, NC
- NPI 1336472059
-
- Pharmacist
- West Jefferson, NC
- NPI 1487721510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jefferson, NC
- Courtney Hartzog, LCMHCA
- Cristina Elizabeth Henson, LCSW
- Heather M. Herman, NP
- High Country House Call
- Lauren Hogan
- Icenhour Therapy. PLLC (Icenhour Therapy)
- Ingles Markets Inc (Ingles Pharmacy #082)
- Jenkins and Stopper, DDS, PA (Mountain Town Dental)
- Alvin Phillips Jenkins, D.D.S.
- Jill Barr Johnson, RPH
Sources for this page
- 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.