NPIMap

Organization Active NPI

Hometown Pharmacy Inc

Doing business as HomeTown Pharmacy #67 - Suttons Bay

  • Community/Retail Pharmacy
  • Suttons Bay, MI
National Provider Identifier
1811904345
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006029 Issued in MI
Legal business name
HOMETOWN PHARMACY INC
Doing business as
HomeTown Pharmacy #67 - Suttons Bay
Practice address
93 W Fourth St Ste a
Suttons Bay, MI 49682-8408
Phone
(231) 271-6111
Fax
(231) 271-0984
NPI assigned
Aug 1, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Rebekah Lyn Desarmo, PHARM D., MBANPI 1487904736
Title
VP of Finance
Phone
(231) 861-6902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301006029 MI Primary

Addresses

Primary practice location

93 W Fourth St Ste a
Suttons Bay, MI 49682-8408

Mailing address

4171 S Oceana Dr
New Era, MI 49446-9781
Phone (231) 861-6900

Other identifiers 1

IdentifierTypeStateIssuer
1811904345MedicaidMI

Other names 1

  • HomeTown Pharmacy #67 - Suttons Bay Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20110218000080 MI Part B Supplier - Mass Immunization (Roster Biller Only) 8921902958 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory
Tax ID family
Hometown Pharmacy Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 42)

606 N Main St
Mishawaka, IN 46545
Phone (574) 255-2988

1775 E Center St
Warsaw, IN 46580
Phone (574) 267-7356

120 S Clark St
Albion, MI 49224
Phone (517) 629-2900

120 E Midland Rd
Auburn, MI 48611
Phone (989) 662-4429

211 W Monroe St
Bangor, MI 49013
Phone (269) 427-7706

117 N Main St
Bellevue, MI 49021
Phone (269) 763-9407

101 Maple St
Big Rapids, MI 49307
Phone (231) 796-7621

120 N Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-4143

6480 Main St
Cass City, MI 48726
Phone (989) 872-3613

1125 S Main St
Chelsea, MI 48118
Phone (734) 475-1188

39023 Harper Ave
Clinton Twp, MI 48036
Phone (586) 464-2000

128 S Bridge St
Dewitt, MI 48820
Phone (517) 668-9299

1125 Washington Ave
Grand Haven, MI 49417
Phone (616) 842-4360

1181 Walker Ave NW
Grand Rapids, MI 49504
Phone (616) 458-9640

4252 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 281-1323

3270 M 65
Hale, MI 48739
Phone (989) 728-9711

39 S State St
Hart, MI 49420
Phone (231) 873-2540

300 W Washington Ave
Ste 110
Jackson, MI 49201
Phone (517) 784-3430

6 S Main St
Kent City, MI 49330
Phone (616) 678-5380

5277 Lapeer Rd
Kimball, MI 48074
Phone (810) 984-8200

350 N Main St
Lawton, MI 49065
Phone (269) 624-2231

1015 Dexter St
Milan, MI 48160
Phone (734) 429-8877

1144 N Monroe St
Monroe, MI 48162
Phone (734) 242-2966

128 Cole Rd
Monroe, MI 48162
Phone (734) 242-2966

15483 S Dixie Hwy
Monroe, MI 48161
Phone (734) 243-5656

Practitioners & affiliated clinicians

Practitioners 81

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.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1811904345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 S OCEANA DR",
            "city": "NEW ERA",
            "state": "MI",
            "postal_code": "494469781",
            "telephone_number": "231-861-6900",
            "fax_number": "231-861-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W FOURTH ST STE A",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496828408",
            "telephone_number": "231-271-6111",
            "fax_number": "231-271-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "DESARMO",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "231-861-6902",
        "authorized_official_credential": "PHARM D., MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811904345",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeTown Pharmacy #67 - Suttons Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.