Active NPI
Hometown Pharmacy Inc
- Community/Retail Pharmacy
- Muskegon, MI
National Provider Identifier
1396825857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009496
- Legal business name
- HOMETOWN PHARMACY INC
- Doing business as
- Hometown Pharmacy #35
- Practice address
- 501 Whitehall Rd
Muskegon, MI 49445-3219 - Phone
- (231) 744-4718
- Fax
- (231) 744-5574
- NPI assigned
- Oct 17, 2006
- Organization subpart
- Yes
- Parent organization
- HOMETOWN PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Lyn Desarmo, PHARM D., MBA
- Title
- VP of Finance
- Phone
- (231) 861-6902
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301009496 | MI | Primary |
Addresses
Primary practice location
501 Whitehall Rd
Muskegon, MI 49445-3219
Mailing address
4171 S Oceana Dr
New Era, MI 49446-9781
Phone (231) 861-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129457 | Other | PK |
Other names 1
- Hometown Pharmacy #35
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080627000613 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668544107 |
This NPI is an additional NPI on the enrollment Practice locations: Shelby, MI; Muskegon, MI; New Buffalo, MI; New Era, MI; Newaygo, MI; Oxford, MI; Ravenna, MI; Reed City, MI… |
National Provider Directory
National Provider DirectoryLocations
501 Whitehall Rd
North Muskegon, MI 49445
Phone (231) 744-4718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781395200000",
"number": "1396825857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 S OCEANA DR",
"city": "NEW ERA",
"state": "MI",
"postal_code": "494469781",
"telephone_number": "231-861-6900",
"fax_number": "231-861-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WHITEHALL RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494453219",
"telephone_number": "231-744-4718",
"fax_number": "231-744-5574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOMETOWN PHARMACY INC",
"enumeration_date": "2006-10-17",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A",
"authorized_official_last_name": "DESARMO",
"authorized_official_first_name": "REBEKAH",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "231-861-6902",
"authorized_official_credential": "PHARM D., MBA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301009496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129457",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hometown Pharmacy #35",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hometown Pharmacy #35",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.