Organization Active NPI

Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Southampton, NJ
National Provider Identifier
1639218381
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00644000 Issued in NJ
Legal business name
HOMETOWN PHARMACY LLC
Practice address
1805 Route 206 Unit 9
Southampton, NJ 08088-3558
Phone
(609) 859-5633
NPI assigned
Feb 6, 2007
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Mr. Timothy Quinlan Murphy, RPHNPI 1932798493
Title
Owner Pharmacist
Phone
(609) 859-5633

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 28RS00644000 NJ Primary

Addresses

Primary practice location

1805 Route 206 Unit 9
Southampton, NJ 08088-3558

Mailing address

1805 Route 206 Unit 9
Southampton, NJ 08088-3558
Phone (609) 859-5633

Other identifiers 2

IdentifierTypeStateIssuer
3192351OtherNAPB
0049221MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930096765 NJ DME Supplier - Pharmacy 3870703887 Practice locations: Southampton, NJ
O20170313001830 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3870703887 Practice locations: Southampton, NJ

National Provider Directory

National Provider Directory
Tax ID family
Hometown Pharmacy2 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

1805 Route 206
Ste 9
Southampton, NJ 08088
Phone (609) 670-5194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1639218381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 ROUTE 206 UNIT 9",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883558",
            "telephone_number": "609-859-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 ROUTE 206 UNIT 9",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883558",
            "telephone_number": "609-859-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "QUINLAN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "609-859-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00644000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "3192351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049221",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.