Organization Active NPI

Hometown Pharmacy of Hazard LLC

  • Community/Retail Pharmacy
  • Hazard, KY
National Provider Identifier
1407484199
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMETOWN PHARMACY OF HAZARD LLC
Practice address
221 E Main St
Hazard, KY 41701-1920
Phone
(606) 551-1110
Fax
(606) 551-1131
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Charles Tyler Wells, PHARMDNPI 1922616200
Title
Pharmacist
Phone
(606) 275-1239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

221 E Main St
Hazard, KY 41701-1920

Mailing address

PO Box 289
Hyden, KY 41749-0289
Phone (606) 551-1110

National Provider Directory

National Provider Directory

Locations

221 E Main St
Hazard, KY 41701
Phone (606) 275-1239

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1407484199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417490289",
            "telephone_number": "606-551-1110",
            "fax_number": "606-551-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011920",
            "telephone_number": "606-551-1110",
            "fax_number": "606-551-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF HAZARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-275-1239",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.