Organization Active NPI

Homebiotics, Inc

  • Urgent Care Clinic/Center
  • Oneida, TN
National Provider Identifier
1013075514
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HOMEBIOTICS, INC
Practice address
19118 Alberta St
Oneida, TN 37841-6003
Phone
(423) 569-2400
Fax
(423) 569-2402
NPI assigned
Dec 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Terry Roark, DPHNPI 1992874382
Title
Pharmacist
Phone
(423) 569-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Pharmacy 333600000X 2315 TN

Addresses

Primary practice location

19118 Alberta St
Oneida, TN 37841-6003

Mailing address

19118 Alberta St
Oneida, TN 37841-6003
Phone (423) 569-2400

Other identifiers 1

IdentifierTypeStateIssuer
1452233MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013075514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-2400",
            "fax_number": "423-569-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-2400",
            "fax_number": "423-569-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBIOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-569-2400",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "2315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452233",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.