Organization Active NPI

Hometown Wellness Pharmacy, Inc

  • Community/Retail Pharmacy
  • Eagle Pass, TX
National Provider Identifier
1386307437
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMETOWN WELLNESS PHARMACY, INC
Practice address
1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456
Phone
(830) 213-8485
NPI assigned
Oct 15, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Michael Luna
Title
Officer
Phone
(830) 352-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456

Mailing address

1975 N Veterans Blvd Ste 3a
Eagle Pass, TX 78852-4456
Phone (830) 213-8485

Other identifiers 1

IdentifierTypeStateIssuer
34017OtherTXTEXAS PHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

1975 N Veterans Blvd
Ste 3A
Eagle Pass, TX 78852
Phone (830) 213-8485

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1386307437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-213-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-213-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN WELLNESS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "830-352-3461"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE",
            "identifier": "34017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.