Organization Active NPI

HHP LLC

Doing business as Hartley Hometown Pharmacy

  • Community/Retail Pharmacy
  • Hartley, IA
National Provider Identifier
1730517855
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1481 Issued in IA
Legal business name
HHP LLC
Doing business as
Hartley Hometown Pharmacy
Practice address
130 3Rd St NE
Ste a
Hartley, IA 51346-1132
Phone
(712) 928-7070
Fax
(712) 928-7072
NPI assigned
Oct 29, 2013
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Jay Norberg, BS PHARMNPI 1710577937
Title
RPH/Owner
Phone
(507) 215-1855

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 1481 IA Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

130 3Rd St NE
Ste a
Hartley, IA 51346-1132

Mailing address

130 3Rd St NE Ste a
Hartley, IA 51346-1132
Phone (712) 928-7070

Other identifiers 2

IdentifierTypeStateIssuer
1730517855MedicaidIA
2142171OtherPK

Other names 1

  • Hartley Hometown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170113002048 IA DME Supplier - Pharmacy 0941582530 Practice locations: Hartley, IA
O20181030002877 IA Part B Supplier - Pharmacy 0941582530 Practice locations: Hartley, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hartley Hometown Pharmacy130 3Rd St NE, Hartley, IA 51346-1132(712) 928-7070 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 13, 2017

National Provider Directory

National Provider Directory

Locations

130 3rd St NE
#A
Hartley, IA 51346
Phone (712) 928-7070

101 W Main St
#A
Pipestone, MN 56164

Practitioners & affiliated clinicians

Practitioners 3

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1730517855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 3RD ST NE STE A",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461132",
            "telephone_number": "712-928-7070",
            "fax_number": "712-928-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 3RD ST NE",
            "address_2": "STE A",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461132",
            "telephone_number": "712-928-7070",
            "fax_number": "712-928-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "NORBERG",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "507-215-1855",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1481",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730517855",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartley Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hartley Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.