Organization Active NPI

Helalozy Inc

Doing business as The Hometown Pharmacy

  • Community/Retail Pharmacy
  • Beaver, PA
National Provider Identifier
1851449854
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481665 Issued in PA
Legal business name
HELALOZY INC
Doing business as
The Hometown Pharmacy
Practice address
5000 Tuscarawas Rd
Beaver, PA 15009-1007
Phone
(724) 495-6583
Fax
(724) 495-7584
NPI assigned
Jan 8, 2007
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Ronald McDermott
Title
SVP Operations
Phone
(330) 318-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481665 PA Primary

Addresses

Primary practice location

5000 Tuscarawas Rd
Beaver, PA 15009-1007

Mailing address

8571 Foxwood CT
Ste a
Poland, OH 44514-4313
Phone (330) 318-3926

Other identifiers 1

IdentifierTypeStateIssuer
103278501MedicaidPA

Other names 1

  • The Hometown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170317001331 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3274818091 Practice locations: Beaver, PA
O20170419000344 PA DME Supplier - Pharmacy 3274818091 Practice locations: Beaver, PA

National Provider Directory

National Provider Directory
Tax ID family
Helalozy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5000 Tuscarawas Rd
Beaver, PA 15009
Phone (724) 495-6583

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1851449854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT",
            "address_2": "STE A",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-318-3926",
            "fax_number": "330-318-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091007",
            "telephone_number": "724-495-6583",
            "fax_number": "724-495-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELALOZY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "330-318-3926"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103278501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.