Hometown Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

195660 Issued in OK

Legal business name

HOMETOWN DRUG COMPANY LLC

Doing business as

Hometown Drug Company, LLC

Practice address

307 N Broadway St
Poteau, OK 74953-3355

Phone

(918) 647-2349

Fax

(918) 647-2359

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Jason Carter, PHARMD

Title

Ceo, Owner

Phone

(405) 388-4822

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Hometown Drug Company, LLC 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

  • Urgent Care Clinic/Center
  • Poteau, OK
  • NPI 1881980985

  5698938660

  Same PAC ID

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1962791483",
    "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 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533355",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "405-388-4822",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "195660",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347280B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347280C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Drug Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Laura House, M.ED

• Community/Retail Pharmacy in Poteau, OK
• Providers in Poteau, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.