{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOMETOWN PHARMACIES INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 35",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLOVERDALE",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97112-0035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-392-3456",
"MailingAddressFaxNumber": "503-392-4545",
"FirstLinePracticeLocationAddress": "34385 SOUTH HIGHWAY 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLOVERDALE",
"PracticeLocationAddressStateName": "OR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-392-3456",
"PracticeLocationAddressFaxNumber": "503-392-4545",
"EnumerationDate": "07/12/2006",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRIGGS",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "503-392-3456",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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"LicenseNumber": "RP0000159CS",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}