HOMETOWN PHARMACY INC NPI 1679537286

NPI Details

HOMETOWN PHARMACY INC is a community/retail pharmacy pharmacy in Gobles, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HOMETOWN PHARMACY INC NPI is 1679537286. The provider is registered as an organization entity type.
The provider Is Doing Business As Gobles Pharmacy.

The provider's business location address is:

212 S STATE ST
GOBLES, MI
ZIP 49055-410
Phone: (269) 628-2650
Fax: (269) 628-4022

The provider's authorized official is Rebekah Lyn Desarmo .
The authorized official title is Executive Operations Administrator and has the following contact phone number (231) 652-7810.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 4/12/2006 and was last updated on 4/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.