Hometown Pharmacy of Campbellsville, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC

Doing business as

Hometown Pharmacy

Practice address

325 E Broadway St
Campbellsville, KY 42718-2003

Phone

(270) 465-1513

NPI assigned

Mar 14, 2019

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nelda Ann Eads, PHARMDNPI 1255095444

Title

Pharmacist in Charge

Phone

(270) 789-4663

Specialties & licenses 2

Addresses

Other names 1

• Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Tax ID family

Hometown Pharmacy2 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.

• Hometown Pharmacy of Campbellsville, PLLC

  • Pharmacy
  • Campbellsville, KY
  • NPI 1629795133
  NPD tax ID

Practitioners 2

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.

• Nelda Ann Eads, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Campbellsville, KY
  • NPI 1255095444
  NPD Authorized official
• Meleigha Milby, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Campbellsville, KY
  • NPI 1316601503
  NPD

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1972062420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182003",
            "telephone_number": "270-789-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182003",
            "telephone_number": "270-465-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "NELDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "270-789-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holler Performance Health PLLC (Bragg Chiropractic & Rehabilitation)
• Beth T Hollingsworth, LMT
• Mariah Holmes, MSN, APRN, FNP-C
• Hometown Healthcare of Campbellsville Ky PLLC
• Hometown Pharmacy of Campbellsville, PLLC
• Hometown Pharmacy Specialty Services, PLLC
• Hometown Pharmacy Specialty Services, PLLC
• Christopher Hon, LPCA
• James Ryan Hood, OTR/L
• Madeline Stiles Hood, MSCCC-SLP

• Community/Retail Pharmacy in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.