MEDICARE: HOME TOWN PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1891637708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME TOWN PHARMACY LLC

Provider Business Mailing Address
First Line	:	1889 COMMERCE ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4432
Country	:	US
Telephone Number	:	914-962-2600
Fax Number	:	914-962-6319

Provider Business Practice Location Address
First Line	:	1889 COMMERCE ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4432
Country	:	US
Telephone Number	:	914-962-2600
Fax Number	:	914-962-6319

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	PRAVEEN VUPPALA
Credential	:
Telephone Number	:	914-962-2600

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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