Provider Type Icon

HOME TOWN DRUGS OF ROSEBURG INC NPI 1821292707


NPI Information

NPI: 1821292707
Provider Name: HOME TOWN DRUGS OF ROSEBURG, INC

Doing Business As: HOMETOWN DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 38D2237467

Address:
1813 W HARVARD AVE
SUITE 210
ROSEBURG, OR
ZIP 97471
Phone: (541) 229-1112
Get Directions

HOME TOWN DRUGS OF ROSEBURG, INC is a community/retail pharmacy pharmacy in Roseburg, OR. 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. HOME TOWN DRUGS OF ROSEBURG, INC NPI is 1821292707. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Drugs.

The provider's business location address is:

1813 W HARVARD AVE
SUITE 210
ROSEBURG, OR
ZIP 97471-709
Phone: (541) 229-1112
Fax: (541) 229-1112

The provider's authorized official is Ashley Peterman .
The authorized official title is Chief Operations Officer and has the following contact phone number (541) 580-3448.

The CLIA number assigned to this NPI record is 38D2237467 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 2/20/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyRP0002408OREGONYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1274394MEDICAIDOREGON
23842831OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.