Olde Towne Pharmacy , Inc.
NPI 1316990203ActiveOrganization· Pharmacist· Williamsburg, VA
Pharmacist in Williamsburg, Virginia, registered in NPPES in May 2006. The authorized official on file is Kelly Hasty, RPH, Pharmacist/Owner. Medicare paid $71,480 for services to 280 patients in 2024.
Overview
| NPI | 1316990203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 0201002533 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 280 |
|---|---|
| Services billed | 880 across 9 procedure codes |
| Paid by Medicare | $71,480 |
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