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HOMETOWN PHARMACY #4
NPI 1063513398
Pharmacy in Mount Vernon, MO

Active since September 26, 2006CLIA 26D2307781 · Waiver
606 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712(417) 466-2000(417) 466-2028 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2022, Nov 10, 2022, Nov 17, 2015 (3 updates tracked since 2015).

About Hometown Pharmacy #4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMETOWN PHARMACY #4 (NPI 1063513398) is a healthcare organization registered as a pharmacy in Mount Vernon, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Charles Davin Vaughn, President/owner, as its authorized official.

NPPES Registry Identity

NPI1063513398
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCARTHAGE PHARMACY SERVICES INC
Location Address606 E MOUNT VERNON BLVDMount Vernon, MO 65712-9100
Mailing AddressPo Box 68Mount Vernon, MO 65712-0068 · (417) 466-2000 · Fax (417) 466-2028
Phone(417) 466-2000
Fax(417) 466-2028
Organization SubpartNo
Authorized OfficialCharles Davin VaughnPresident/owner · (417) 461-7777
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1063513398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 2004011847
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
606 E MOUNT VERNON BLVD, Mount Vernon, MO 65712
Open in Google Maps ↗

Other Names 1

Doing Business AsHometown Pharmacy #4

Other Identifiers 1

Medicaid601917503MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2307781

Hometown Pharmacy #267 · Mount Vernon, MO
Active · expires Jul 14, 2028
CLIA Number26D2307781
Laboratory TypePharmacy
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorChelsea Doherty
Laboratory Phone(417) 466-2000
Laboratory LocationHometown Pharmacy #267606 East Mount Vernon Blvd, Mount Vernon, MO 65712
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Hometown Pharmacy #267 carries, from the Medicare DMEPOS supplier directory.

Hometown Pharmacy #267

DMEPOS supplier · Mount Vernon, MOOperated by Auburn Pharmacy Inc
✔

Accepts Medicare assignment

Hometown Pharmacy #267 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20683511
Medicare Participant SinceJanuary 1, 1998
Supplier Location606 E Mount Vernon BlvdMount Vernon, MO 65712
Phone(417) 466-2000
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MT VERNON HOMETOWN
Pharmacy (Community/Retail Pharmacy)
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
DAVID EDEN PHARMACIST
Pharmacist
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
BRITTNEY CONWAY PHARMD
Pharmacist
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
GAIL M VAUGHN RPH
Pharmacist
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
DR. KENDRA R WHITE PHARMD
Pharmacist
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
DR. BRANDON KEITH BARKER PHARM. D.
Pharmacist (Pharmacotherapy)
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000
AUBURN PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
606 E MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carthage Pharmacy Services Inc's NPI number?

The NPI number for Carthage Pharmacy Services Inc is 1063513398. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Hometown Pharmacy #4.

Where is Carthage Pharmacy Services Inc located?

Carthage Pharmacy Services Inc is located at 606 E Mount Vernon Blvd, Mount Vernon, MO 65712. The listed phone number is (417) 466-2000.

What is Carthage Pharmacy Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Carthage Pharmacy Services Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Hometown Pharmacy #267 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Carthage Pharmacy Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2307781) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carthage Pharmacy Services Inc accept?

Health plans from UnitedHealthcare list Carthage Pharmacy Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carthage Pharmacy Services Inc was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.