Organization Active NPI

Hometown Pharmacy of Winchester, PLLC

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Winchester, KY
National Provider Identifier
1790320018
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMETOWN PHARMACY OF WINCHESTER, PLLC
Doing business as
Hometown Pharmacy
Practice address
200 Codella Dr Ste C
Winchester, KY 40391-7101
Phone
(859) 940-2950
Fax
(877) 900-0464
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Bijalkumar J Pattel
Title
Owner, RPH
Phone
(859) 759-2102

Specialties & licenses 1

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

Addresses

Primary practice location

200 Codella Dr Ste C
Winchester, KY 40391-7101

Mailing address

200 Codella Dr Ste C
Winchester, KY 40391-7101
Phone (859) 759-2102

Other identifiers 1

IdentifierTypeStateIssuer
P08095OtherKYPHARMACY PERMIT

Other names 1

  • HOMETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

200 Codella Dr
Ste C
Winchester, KY 40391
Phone (859) 759-2102

Practitioners & affiliated clinicians

Practitioners 1

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": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1790320018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CODELLA DR STE C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917101",
            "telephone_number": "859-759-2102",
            "fax_number": "859-759-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CODELLA DR STE C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917101",
            "telephone_number": "859-940-2950",
            "fax_number": "877-900-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF WINCHESTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "PATTEL",
        "authorized_official_first_name": "BIJALKUMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, RPH",
        "authorized_official_telephone_number": "859-759-2102"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P08095",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.