Hometown Drug Company LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HOMETOWN DRUG COMPANY LLC

Doing business as

ExpressCare

Practice address

307 North Broadway St
Poteau, OK 74953

Phone

(918) 647-2349

Fax

(918) 647-2359

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jason Daniel Carter, PHARMD

Title

Owner/Ceo

Phone

(918) 647-2349

Specialties & licenses 1

Addresses

Other names 1

• ExpressCare Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hometown Drug Company LLC

  • Community/Retail Pharmacy
  • Poteau, OK
  • NPI 1962791483

  5698938660

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cherokee Hills Drug Company LLC

  • Community/Retail Pharmacy
  • Tahlequah, OK
  • NPI 1639592330

  O20120531000651

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Julie Clark, P.A.

  • Physician Assistant
  • Poteau, OK
  • NPI 1093737439
  Medicare reassignment NPD

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1881980985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530459",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NORTH BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "918-647-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpressCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoffman'S Aprn-CNP Medical Clinic
• Julie Ann Holland, BHRS
• Jennifer L Holleman, LPC
• Tamatha Kay Holt, O.D.
• Hometown Drug Company LLC
• Hometown Drug Company LLC
• Doug E Horne, PHARMD
• Theresa Horton, PH.D.
• Hospice Peachtree, LLC
• Hospital Care Consultants of Poteau LLC

• Urgent Care Clinic/Center in Poteau, OK
• Providers in Poteau, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.