NPIMap

Organization Active NPI

Rav Pharma LLC

Doing business as Hometown Pharmacy

  • Long Term Care Pharmacy
  • Callahan, FL
National Provider Identifier
1376454157
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RAV PHARMA LLC
Doing business as
Hometown Pharmacy
Practice address
450077 State Road 200 Ste 4
Callahan, FL 32011-3863
Phone
(904) 515-0929
Fax
(904) 515-5609
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Mr. Ashish Kapoor
Title
Ao
Phone
(904) 515-0929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

450077 State Road 200 Ste 4
Callahan, FL 32011-3863

Mailing address

450077 State Road 200 Ste 4
Callahan, FL 32011-3863
Phone (904) 515-0929

Other names 1

  • HOMETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hometown Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1376454157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450077 STATE ROAD 200 STE 4",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113863",
            "telephone_number": "904-515-0929",
            "fax_number": "904-515-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450077 STATE ROAD 200 STE 4",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113863",
            "telephone_number": "904-515-0929",
            "fax_number": "904-515-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAV PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "904-515-0929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callahan, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.