Active NPI
Home Town Drugs of Roseburg Inc
- Community/Retail Pharmacy
- Roseburg, OR
National Provider Identifier
1821292707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP0002408
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3842831 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 274394 | Medicaid | OR |
Other names 1
- HOMETOWN DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070924000803 | OR | Part B Supplier - Pharmacy | 6507950383 | Practice locations: Roseburg, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2237467 | Hometown Drugs | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Winston, OR
- NPI 1497110605
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.