Active NPI
Home Health Solutions, Inc.
Doing business as Medical Park Pharmacy
- Community/Retail Pharmacy
- Gainesville, GA
National Provider Identifier
1033152392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 006215
- Legal business name
- HOME HEALTH SOLUTIONS, INC.
- Doing business as
- Medical Park Pharmacy
- Practice address
- 2551 Limestone Pkwy
Gainesville, GA 30501-2019 - Phone
- (770) 535-8860
- Fax
- (770) 532-7100
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willie D Smith
- Title
- Owner
- Phone
- (770) 535-8860
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 006215 | GA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2551 Limestone Pkwy
Gainesville, GA 30501-2019
Mailing address
2551 Limestone Pkwy
Gainesville, GA 30501-2019
Phone (770) 535-8860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000276581B | Medicaid | GA | |
| 2014824 | Other | PK | |
| 000276581A | Medicaid | GA |
Other names 1
- MEDICAL PARK PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222000852 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850418153 | Practice locations: Gainesville, GA |
National Provider Directory
National Provider DirectoryLocations
2551 Limestone Pkwy
Gainesville, GA 30501
Phone (770) 535-8860
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Gainesville, GA
- NPI 1407258643
-
- Pharmacist
- Gainesville, GA
- NPI 1073937553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1033152392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 LIMESTONE PKWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012019",
"telephone_number": "770-535-8860",
"fax_number": "770-532-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 LIMESTONE PKWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012019",
"telephone_number": "770-535-8860",
"fax_number": "770-532-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-535-8860"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "006215",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000276581B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2014824",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000276581A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL PARK PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDICAL PARK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.