Back Home Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BACK HOME PHARMACY INC

Doing business as

Hopewell Drug

Practice address

2508 Gray St
Hopewell, VA 23860-5026

Phone

(804) 458-3784

Fax

(804) 458-6450

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. George Nicholas Fotis, RPH

Title

Member

Phone

(410) 961-9428

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hopewell Drug Doing business as

Locations

Practitioners 1

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

• George F Fetko

  • Pharmacist
  • Hopewell, VA
  • NPI 1982292744
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1497302350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 GRAY ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605026",
            "telephone_number": "804-458-3784",
            "fax_number": "804-458-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 GRAY ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605026",
            "telephone_number": "804-458-3784",
            "fax_number": "804-458-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "FOTIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-961-9428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497302350",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopewell Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent A Armstrong, MD
• Arrowwood Addiction Treatment Center LLC
• Ascension Psychiatric Services LLC
• Peter N Ault, MD
• Adrian Calin Avram, DDS
• Kristen Bagley, FNP-C
• Daniel Morgan Baker, DDS
• Darwyn Annette Barnes, CEO
• Nasr Basir Balla, NURSE PRACTITIONER
• Chantel Baucum

• Community/Retail Pharmacy in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Community/Retail Pharmacy in Virginia

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