Jays Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11658 Issued in NC

Legal business name

JAYS HOMETOWN PHARMACY LLC

Doing business as

Jay's Hometown Pharmacy

Practice address

612 S Sterling St
Morganton, NC 28655-3575

Phone

(828) 438-1866

Fax

(828) 438-1867

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

John MartinoNPI 1366746729

Title

Pharmacy Owner/Manager

Phone

(828) 443-1745

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jay's Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Lawrence Martino, PHARM D

  • Pharmacist
  • Morganton, NC
  • NPI 1366746729
  NPD Authorized official

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1770911414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553575",
            "telephone_number": "828-438-1866",
            "fax_number": "828-438-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553575",
            "telephone_number": "828-438-1866",
            "fax_number": "828-438-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYS HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACY OWNER/MANAGER",
        "authorized_official_telephone_number": "828-443-1745"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770911414",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James M Croft MD PA
• Jennifer James, DPT
• Kurisummootil Sebastian James, M.D.
• Paul Andrew Jaskot
• Janis J. Jaworski, PHD
• Melody L Jefferson
• Kristan Mull Jenkins, L.P.A.
• Roger David Jensen, M.D.
• Jerry Carter D.M.D., PA
• Edson Manuel Jimenez Jimenez, FNP-C

• Community/Retail Pharmacy in Morganton, NC
• Providers in Morganton, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.