Brine's Hometown Pharmacy – Community/Retail Pharmacy, NPI 1033224076
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Brine's Hometown Pharmacy
8571 FOXWOOD CT
SUITE A
POLAND, OH 445144313
Phone: (330) 318-3926
Fax: (330) 318-3927
Type: Mailing
906, North State Street, Girard, Liberty Township, Trumbull County, Ohio, 44420, United States
GIRARD, OH 444201736
Phone: (330) 545-5025
Fax: (330) 545-5881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (132 days ago).
Enrollment records
3
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161109002955 | O | Mass Immunization (Roster Biller Only) | OH | TBD |
| O20161206002483 | O | Pharmacy | OH | 2026-01-31 |
| O20200706000925 | O | Independent Clinical Laboratory | OH | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 400 | 37 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 12 | 12 | $0 |
Insurance plans in this area (ZIP 44514)
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