Phelps Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030494 Issued in NY

Legal business name

PHELPS HOMETOWN PHARMACY LLC

Practice address

110 Main St
Phelps, NY 14532-1017

Phone

(315) 548-9454

Fax

(315) 548-5224

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Toni Tompkins

Title

Supervising Pharmacist

Phone

(315) 548-9454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phelps Hometown Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Practitioners 1

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

• John B Tompkins, RPH

  • Pharmacist
  • Mendon, NY
  • NPI 1679770127
  NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1366754103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145321017",
            "telephone_number": "315-548-9454",
            "fax_number": "315-548-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145321017",
            "telephone_number": "315-548-9454",
            "fax_number": "315-548-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "315-548-9454"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps Hometown Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Johnson
• Samantha Willow Lewis
• Jeffrey Mathias, LMSW
• Patricia Ann Oneil, LPN
• Phelps Ambulance, Inc.
• Daniel Louis Rosinski, D.D.S.
• State of New York Comptrollers Office
• Karissa Kelley Vancamp
• Rachel Waltz, R.N.
• Whitson Pharmacy, Inc.

• Community/Retail Pharmacy in Phelps, NY
• Providers in Phelps, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.