Organization Active NPI

Hometown Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Bessemer, AL
National Provider Identifier
1942455779
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113218 Issued in AL
Legal business name
HOMETOWN PHARMACY SERVICES, LLC
Doing business as
Hometown Pharmacy Services, LLC
Practice address
519 W Town PLZ
Bessemer, AL 35020-5347
Phone
(205) 426-1922
Fax
(205) 426-1927
NPI assigned
Nov 20, 2008
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Timothy Mullins, PHARMDNPI 1154796613
Title
Owner, Pic, Ao
Phone
(205) 426-1922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 113218 AL Primary

Addresses

Primary practice location

519 W Town PLZ
Bessemer, AL 35020-5347

Mailing address

519 W Town PLZ
Bessemer, AL 35020-5347
Phone (205) 426-1922

Other identifiers 2

IdentifierTypeStateIssuer
2118025OtherPK
106239MedicaidAL

Other names 1

  • Hometown Pharmacy Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180917001426 AL Part B Supplier - Pharmacy 1052662905 Practice locations: Bessemer, AL

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
01D2106928Hometown Pharmacy Services519 West Town Plaza, Bessemer, AL 35020Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

519 W Town Plz
Bessemer, AL 35020
Phone (205) 426-1922

Practitioners & affiliated clinicians

Practitioners 4

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1942455779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922",
            "fax_number": "205-426-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922",
            "fax_number": "205-426-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "205-426-1922",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118025",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106239",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.