Organization Active NPI

Hometown RX Corporation

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Camden, NJ
National Provider Identifier
1619657731
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMETOWN RX CORPORATION
Doing business as
Hometown Pharmacy
Practice address
2940 Yorkship SQ
Camden, NJ 08104-2857
Phone
(856) 541-2990
NPI assigned
Jul 24, 2023
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Mohammad A Hashim
Title
Owner
Phone
(732) 351-3940

Specialties & licenses 1

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

Addresses

Primary practice location

2940 Yorkship SQ
Camden, NJ 08104-2857

Mailing address

2940 Yorkship SQ
Camden, NJ 08104-2857
Phone (856) 541-2990

Other names 1

  • HOMETOWN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240309000430 NJ Part B Supplier - Pharmacy 6406292754 Practice locations: Camden, NJ
O20250915001299 NJ DME Supplier - Pharmacy 6406292754 Practice locations: Camden, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1619657731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 YORKSHIP SQ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042857",
            "telephone_number": "856-541-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 YORKSHIP SQ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042857",
            "telephone_number": "856-541-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN RX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-351-3940"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.

Verify at the official NPI Registry.