HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC
NPI 1629795133
Pharmacy in Campbellsville, KY

Q: What is Hometown Pharmacy Of Campbellsville, PLLC's specialty?

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

Active since October 25, 2022CLIA 18D2166645 · Waiver

325 E BROADWAY ST, CAMPBELLSVILLE, KY 42718(270) 789-4663(270) 789-4664 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Oct 25, 2022 (2 updates tracked since 2022).

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About Hometown Pharmacy Of Campbellsville, Pllc NPPES

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

HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC (NPI 1629795133) is a healthcare organization registered as a pharmacy in Campbellsville, Kentucky and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Nelda Eads, Coo, as its authorized official.

NPPES Registry Identity

NPI1629795133

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC

Location Address325 E BROADWAY STCampbellsville, KY 42718-2003

Mailing Address325 E Broadway StCampbellsville, KY 42718-2003 · (270) 789-4663 · Fax (270) 789-4664

Phone(270) 789-4663

Fax(270) 789-4664

Organization SubpartNo

Authorized OfficialNelda EadsCoo · (270) 789-4663

Enumeration DateOctober 25, 2022

Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1629795133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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.

325 E BROADWAY ST, Campbellsville, KY 42718

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 18D2166645

Hometown Pharmacy Of Campbellsville, PLLC · Campbellsville, KY

Active · expires May 21, 2027

CLIA Number18D2166645

Laboratory TypePharmacy

Certificate Effective DateMay 22, 2025

Certificate Expiration DateMay 21, 2027

Laboratory DirectorDr. Nelda Eads

Laboratory Phone(270) 789-4663

Laboratory LocationHometown Pharmacy Of Campbellsville, PLLC325 E Broadway, Campbellsville, KY 42718

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

NELDA ANN EADS PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)