Organization Active NPI

Hyer Apothecary LLC

Doing business as King's Hometown Pharmacy

  • Community/Retail Pharmacy
  • Blairsville, GA
National Provider Identifier
1912492091
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010631 Issued in GA
Legal business name
HYER APOTHECARY LLC
Doing business as
King's Hometown Pharmacy
Practice address
178 Bracketts Way
Suite 7
Blairsville, GA 30512
Phone
(706) 400-5043
Fax
(706) 400-5046
NPI assigned
Jun 29, 2018
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dr. John Hyer, PHARMD
Title
Ceo
Phone
(706) 400-5043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010631 GA Primary

Addresses

Primary practice location

178 Bracketts Way
Suite 7
Blairsville, GA 30512

Mailing address

30 Peachtree St
Murphy, NC 28906
Phone (706) 400-5043

Other names 1

  • King's Hometown Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200919000086 GA Part B Supplier - Mass Immunization (Roster Biller Only) 4880012012 Practice locations: Blairsville, GA

National Provider Directory

National Provider Directory
Tax ID family
Hyer Apothecary LLC2 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

178 Bracketts Way
Ste 7
Blairsville, GA 30512
Phone (706) 400-5043

30 Peachtree St
Murphy, NC 28906
Phone (828) 837-7474

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1912492091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PEACHTREE ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "28906",
            "telephone_number": "706-400-5043",
            "fax_number": "706-400-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 BRACKETTS WAY",
            "address_2": "SUITE 7",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-400-5043",
            "fax_number": "706-400-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYER APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-400-5043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.