Hometown Pharmacy

LBN: Ingram Pharmacy Pllc Dba Hometown Pharmacy
Hometown Pharmacy is an health care organization with primary practice located at 1502 Oxford Dr Ste 150 Suite 150, Georgetown KY 40324-8095. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Ingram Pharmacy Pllc Dba Hometown Pharmacy can be contacted via phone (502) 863-3784, or through Ingram, Michael via phone (859) 588-2932.

Contact Information

Primary practice address
1502 Oxford Dr Ste 150 Suite 150 Georgetown KY 40324-8095
Phone: (502) 863-3784
Fax: (502) 863-3789
Website:
Map and Directions
Authorized official contact:
Name: Ingram, Michael
Phone: (859) 588-2932

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07328 Kentucky

Profile Details

NPI number 1730329277
LBN Legal business name Ingram Pharmacy Pllc Dba Hometown Pharmacy
DBA Doing business as Hometown Pharmacy
Authorized official Ingram, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2009
Last updated Mar 19th, 2013 - about 13 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 1730329277 NPPES
Other 1831076 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 7100067730 NCPDP PROVIDER IDENTIFICATION NUMBER

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