Olde Towne Pharmacy , Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201002533 Issued in VA

Legal business name

OLDE TOWNE PHARMACY , INC.

Practice address

4854 Longhill Rd
Suite 5
Williamsburg, VA 23188-1500

Phone

(757) 220-8764

Fax

(757) 229-1772

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Hasty, RPHNPI 1194312587

Title

Pharmacist/Owner

Phone

(757) 220-8764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Kelly Hasty

  • Pharmacist
  • Williamsburg, VA
  • NPI 1194312587
  NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316990203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 LONGHILL RD",
            "address_2": "SUITE 5",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881500",
            "telephone_number": "757-220-8764",
            "fax_number": "757-229-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 LONGHILL RD",
            "address_2": "SUITE 5",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881500",
            "telephone_number": "757-220-8764",
            "fax_number": "757-229-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE PHARMACY , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "757-220-8764",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201002533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odessa Ochoa, PA
• Mandi Wolf Ogaard, OTR/L
• Jeffrey Stuart Oglesby, D.D.S.
• Funmilola Titilayo Ogundipe, M.D
• Charles I Oh, M.D.
• Ashlee Anne Olsen, LCSW
• Hannah Olson, OTR/L
• Michelle Lea Olson, DDS
• Elizabeth Jones Omasta, PA-C
• Linda Domingo Ombac, M.D.

• Pharmacist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.