Hometown Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Gobles, MI
NPI 1679537286 · NPPES record last updated Jun 14, 2026
Key facts
- NPI
- 1679537286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301006436 (MI)
- Legal business name
- HOMETOWN PHARMACY INC
- Practice address
- 212 S State St
Gobles, MI 49055-9410 - Phone
- (269) 628-2650
- Fax
- (269) 628-4022
- NPI assigned
- Apr 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HOMETOWN PHARMACY INC
Authorized official
- Name
- Rebekah Lyn Desarmo, PHARM D., MBA
- Title
- VP of Finance
- Phone
- (231) 861-6902
Practitioners 1
-
Mary Lee Flesher, R.PH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080627000613 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668544107 |
This NPI is an additional NPI on the enrollment Practice locations: Shelby, MI; Muskegon, MI; New Buffalo, MI; New Era, MI; Newaygo, MI; Oxford, MI; Ravenna, MI; Reed City, MI… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301006436 | MI | Yes |
Addresses
Primary practice location
212 S State St
Gobles, MI 49055-9410
Mailing address
4171 S Oceana Dr
New Era, MI 49446-9781
Phone (231) 861-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3290325 | Medicaid | MI | |
| 2043050 | Other | PK |
Other names
- GOBLES PHARMACY
Other providers in Gobles, MI
- Ashley Giuzio
- Anita Ficsor Gutierrez
- Health Centers Incorporated
- Rachel Joy Hoekstra
- Angela Kay Hoess
- Linda Jo Huston
- Chelsea Jean Johnson
- Kristin J Lockrem
- Linda Lou Millek
- Metuschelah Munyabera
All providers in Gobles, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.