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OLDE TOWNE PHARMACY , INC.
NPI 1316990203
Pharmacist in Williamsburg, VA

Active since May 19, 2006CLIA 49D0961729 · Waiver
4854 LONGHILL RD, SUITE 5, WILLIAMSBURG, VA 23188(757) 220-8764(757) 229-1772 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olde Towne Pharmacy , Inc. NPPES

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

OLDE TOWNE PHARMACY , INC. (NPI 1316990203) is a healthcare organization registered as a pharmacist in Williamsburg, Virginia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Kelly Hasty, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1316990203
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameOLDE TOWNE PHARMACY , INC.
Location Address4854 LONGHILL RD, SUITE 5Williamsburg, VA 23188-1500
Mailing Address4854 Longhill Rd, Suite 5Williamsburg, VA 23188-1500 · (757) 220-8764 · Fax (757) 229-1772
Phone(757) 220-8764
Fax(757) 229-1772
Organization SubpartNo
Authorized OfficialKelly HastyPharmacist/owner · (757) 220-8764
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316990203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in VA · 0201002533
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4854 LONGHILL RD, Williamsburg, VA 23188
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 49D0961729

Olde Towne Pharmacy Inc · Williamsburg, VA
Active · expires Jun 14, 2027
CLIA Number49D0961729
Laboratory TypePharmacy
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorKelly Hasty
Laboratory Phone(757) 220-8764
Laboratory LocationOlde Towne Pharmacy Inc4854 Longhill Road, Williamsburg, VA 23188
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
191 services191 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
181 services181 patients
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.
21 services21 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.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Olde Towne Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Olde Towne Pharmacy Inc

DMEPOS supplier · Williamsburg, VA
✔

Accepts Medicare assignment

Olde Towne Pharmacy Inc 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)20605289
Medicare Participant SinceJune 16, 2002
Supplier Location4854 Longhill Rd Ste 5Williamsburg, VA 23188
Phone(757) 220-8764
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
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.

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 Olde Towne Pharmacy , Inc.'s NPI number?

The NPI number for Olde Towne Pharmacy , Inc. is 1316990203. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Olde Towne Pharmacy , Inc. located?

Olde Towne Pharmacy , Inc. is located at 4854 Longhill Rd Suite 5, Williamsburg, VA 23188. The listed phone number is (757) 220-8764.

What is Olde Towne Pharmacy , Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Olde Towne Pharmacy , Inc. accept Medicare assignment for medical equipment?

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

Does Olde Towne Pharmacy , Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0961729) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olde Towne Pharmacy , Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Olde Towne Pharmacy , 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 Olde Towne Pharmacy , Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.