NPIMap

Organization Active NPI

Hometown Drug Company LLC

  • Primary Care Clinic/Center
  • Poteau, OK
National Provider Identifier
1538566286
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOMETOWN DRUG COMPANY LLC
Doing business as
Hometown Family Care
Practice address
307 N Broadway St
Poteau, OK 74953-3355
Phone
(918) 647-2349
Fax
(918) 647-2358
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Jason Danile Carter, PHARMD
Title
Owner
Phone
(918) 647-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

307 N Broadway St
Poteau, OK 74953-3355

Mailing address

PO Box 459
Poteau, OK 74953-0459
Phone (918) 647-2349

Other names 1

  • Hometown Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Hills Drug Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

307 N Broadway St
Poteau, OK 74953
Phone (918) 647-2349

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1538566286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530459",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533355",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-647-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.