Organization Active NPI

Our Home Pharmacy Inc

  • Community/Retail Pharmacy
  • Auburn, AL
National Provider Identifier
1962715565
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113395 Issued in AL
Legal business name
OUR HOME PHARMACY INC
Practice address
2154 Moores Mill Rd
Auburn, AL 36830-8447
Phone
(334) 887-8780
Fax
(334) 887-8786
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Donald HyattNPI 1295054989
Title
Owner/President/Pic/Ao
Phone
(334) 887-8780

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 113395 AL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2154 Moores Mill Rd
Auburn, AL 36830-8447

Mailing address

2320 Moores Mill Rd Ste 100
Suite 100
Auburn, AL 36830-8403
Phone (334) 887-8780

Other identifiers 2

IdentifierTypeStateIssuer
2126111OtherPK
1231350MedicaidAL

Other names 1

  • Our Home Pharmacy, INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110221000993 AL DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7315128592 Practice locations: Auburn, AL
O20210730002830 AL Part B Supplier - Independent Clinical Laboratory 7315128592 Practice locations: Auburn, AL
O20240502003183 AL Part B Supplier - Pharmacy 7315128592 Practice locations: Auburn, 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
01D2098488Our Home Pharmacy Inc2154 Moores Mill Road, Auburn, AL 36830Certificate of waiverJul 7, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Our Home Pharmacy Inc2154 Moores Mill Rd, Auburn, AL 36830-8447(334) 887-8780 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Oct 1, 2011

National Provider Directory

National Provider Directory

Locations

2154 Moores Mill Rd
Auburn, AL 36830
Phone (334) 887-8780

2320 Moores Mill Rd
Ste 100
Auburn, AL 36830
Phone (334) 887-8780

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1962715565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 MOORES MILL RD STE 100",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308403",
            "telephone_number": "334-887-8780",
            "fax_number": "334-887-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 MOORES MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308447",
            "telephone_number": "334-887-8780",
            "fax_number": "334-887-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "334-887-8780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113395",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126111",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Home Pharmacy, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Home Pharmacy, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.