Johnnys Hometown Pharmacy Pc
Community/Retail Pharmacy
303 E Ray Fine Blvd, Ste 100, Roland
Oklahoma, 74954-5362
918-427-0400 918-427-0401
Johnnys Hometown Pharmacy Pc is an authorized DME supplier for medicare equipments and products.
Johnnys Hometown Pharmacy Pc is a Community/Retail Pharmacy in Roland, Oklahoma. It is located at 303 E Ray Fine Blvd, Ste 100, Roland and it's customer support contact number is 918-427-0400. The authorized person of Johnnys Hometown Pharmacy Pc is Johnny Roberts who is President of the pharmacy and his contact number is 918-427-0400. Active license number of Johnnys Hometown Pharmacy Pc is 343841 for Community/Retail Pharmacy in Oklahoma. Johnnys Hometown Pharmacy Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Johnnys Hometown Pharmacy Pc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Johnnys Hometown Pharmacy Pc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Johnnys Hometown Pharmacy Pc |
| Type: | Community/Retail Pharmacy |
| Location: | 303 E Ray Fine Blvd, Ste 100, Roland, Oklahoma, 74954-5362 |
| Phone: | 918-427-0400 |
| Fax: | 918-427-0401 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Johnny Roberts |
| Position: | President |
| Contact Number: | 918-427-0400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1346223328 |
| NPI Enumeration Date: | 23 Nov, 2005 |
| NPI Last Update On: | 10 Jul, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johnnys Hometown Pharmacy Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 343841 | Oklahoma | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100243100A | Medicaid | Oklahoma | |
| 140896407 | Medicaid | Arkansas | |
| 2074722 | Other | | Pk |
Medicare Enrollment:
Johnnys Hometown Pharmacy Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9436279031 | O20100930090817 | Johnny's Hometown Pharmacy, Pc | DME SUPPLIER - PHARMACY |
Products Available:
Johnnys Hometown Pharmacy Pc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Urological Supplies |
| • Walkers | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1600, Roland, Oklahoma |
| Zip: | 74954-1600 |
| Phone Number: | -- |
Patients can reach Johnnys Hometown Pharmacy Pc at
303 E Ray Fine Blvd, Ste 100, Roland, Oklahoma or can
call on customer care at 918-427-0400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.