Organization Active NPI

Home Town Drug Stores Inc

  • Community/Retail Pharmacy
  • West Jefferson, NC
National Provider Identifier
1285728097
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Aletha Eller, PHARMDNPI 1336472059
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130903000816 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1557504982 Practice locations: West Jefferson, NC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.