Organization Active NPI

Home Town Drugs of Roseburg Inc

  • Community/Retail Pharmacy
  • Roseburg, OR
National Provider Identifier
1821292707
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0002408 Issued in OR
Legal business name
HOME TOWN DRUGS OF ROSEBURG INC
Practice address
1813 W Harvard Ave
Suite 210
Roseburg, OR 97471-2709
Phone
(541) 229-1112
Fax
(541) 229-1112
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Jeffrey Shane Harrell, PHARMD
Title
Owner
Phone
(360) 859-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP0002408 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave
Suite 210
Roseburg, OR 97471-2709

Mailing address

1813 W Harvard Ave
Suite 210
Roseburg, OR 97471-2709
Phone (541) 229-1112

Other identifiers 2

IdentifierTypeStateIssuer
3842831OtherNCPDP PROVIDER IDENTIFICATION NUMBER
274394MedicaidOR

Other names 1

  • HOMETOWN DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070924000803 OR Part B Supplier - Pharmacy 6507950383 Practice locations: Roseburg, OR

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2237467Hometown Drugs1813 W Harvard Avenue, Suite 210, Roseburg, OR 97471Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1821292707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 210",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712709",
            "telephone_number": "541-229-1112",
            "fax_number": "541-229-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 210",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712709",
            "telephone_number": "541-229-1112",
            "fax_number": "541-229-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DRUGS OF ROSEBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-859-8659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3842831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOMETOWN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.