Healthcare Provider Details

I. General information

NPI: 1841302841
Provider Name (Legal Business Name): HOMETOWN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36A MAIN ST
BLOOMINGDALE NJ
07403-1724
US

IV. Provider business mailing address

36A MAIN ST
BLOOMINGDALE NJ
07403-1724
US

V. Phone/Fax

Practice location:
  • Phone: 973-838-0909
  • Fax: 973-838-8313
Mailing address:
  • Phone: 973-838-0909
  • Fax: 973-838-8313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00674100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMIT DATWANI
Title or Position: PRESIDENT
Credential:
Phone: 973-838-0909