NPIMap

Organization Active NPI

St Lukes Homestar Services LLC

Doing business as HomeStar Rx and Infusion Services

  • Home Infusion Agency
  • Bethlehem, PA
National Provider Identifier
1003086455
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
PP-481788 Issued in PA
Legal business name
ST LUKES HOMESTAR SERVICES LLC
Doing business as
HomeStar Rx and Infusion Services
Practice address
77 S Commerce Way
Ste 200
Bethlehem, PA 18017-8917
Phone
(610) 954-4210
Fax
(610) 882-0246
NPI assigned
Mar 1, 2008
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph Borgioni, RPH
Title
Pharmacy Administrator
Phone
(484) 526-7650

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X PP-481788 PA Primary
Medical Specialty Clinic/Center 261QM2500X FH0725412 PA
Durable Medical Equipment & Medical Supplies 332B00000X 1000002573 PA
Home Infusion Therapy Pharmacy 3336H0001X PP-481788 PA

Addresses

Primary practice location

77 S Commerce Way
Ste 200
Bethlehem, PA 18017-8917

Mailing address

77 S Commerce Way
Ste 200
Bethlehem, PA 18017-8917
Phone (610) 954-4210

Other identifiers 5

IdentifierTypeStateIssuer
1021941790003MedicaidPA
213649OtherPAHIGHMARK
6112210002OtherPAMEDICARE NHIC PTAN
39HA15OtherPACAPITAL BLUE CROSS
121601OtherPATHREE RIVERS

Other names 1

  • HomeStar Rx and Infusion Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000334 PA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9032316872 Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory
Tax ID family
Homestar Pharmacy Mail Order11 organizations share this tax ID, including this one
Part of
Eric Begly Pac

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • St. Luke's Hospital

    dba St. Luke's Medical Toxicology

    • Medical Toxicology (Emergency Medicine) Physician
    • Bethlehem, PA
    • NPI 1952312928

    Member Of

    NPD member

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

77 S Commerce Way
Ste 100
Bethlehem, PA 18017
Phone (610) 419-7614

77 S Commerce Way
Ste 200
Bethlehem, PA 18017
Phone (484) 526-4210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1003086455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY",
            "address_2": "STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178917",
            "telephone_number": "610-954-4210",
            "fax_number": "610-882-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY",
            "address_2": "STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178917",
            "telephone_number": "610-954-4210",
            "fax_number": "610-882-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES HOMESTAR SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HOSPITAL",
        "enumeration_date": "2008-03-01",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "BORGIONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACY ADMINISTRATOR",
        "authorized_official_telephone_number": "484-526-7650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "PA",
            "license": "PP-481788",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "FH0725412",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "1000002573",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "PA",
            "license": "PP-481788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021941790003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "213649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC PTAN",
            "identifier": "6112210002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "39HA15",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "121601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeStar Rx and Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.