Hometown Village Pharmacy

LBN: Hometown Village Pharmacy Llc
Hometown Village Pharmacy is an health care organization with primary practice located at 220 Claremont Ave Suite #2, Tamaqua PA 18252-4460. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hometown Village Pharmacy Llc can be contacted via phone (570) 668-1900, or through Rubino, Louis via phone (570) 668-1900.

Contact Information

Primary practice address
220 Claremont Ave Suite #2 Tamaqua PA 18252-4460
Phone: (570) 668-1900
Fax: (570) 668-8812
Website:
Map and Directions
Authorized official contact:
Name: Rubino, Louis
Phone: (570) 668-1900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482124 Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1114224193
LBN Legal business name Hometown Village Pharmacy Llc
DBA Doing business as Hometown Village Pharmacy
Authorized official Rubino, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2011
Last updated Dec 28th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114224193 NPPES
Pennsylvania MEDICAID 1025609390001
Pennsylvania Other 2129588

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