Active NPI
Homecare RX Inc.
Doing business as HomeCare Rx
- Home Infusion Therapy Pharmacy
- Pine Brook, NJ
National Provider Identifier
1063808962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- HOMECARE RX INC.
- Doing business as
- HomeCare Rx
- Practice address
- 45 US Highway 46 Ste 610
Pine Brook, NJ 07058-9390 - Phone
- (877) 920-2090
- Fax
- (877) 920-0466
- NPI assigned
- Apr 8, 2015
- Last updated
- May 15, 2024
- 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
- Dhara Patel
- Title
- Owner
- Phone
- (877) 920-2090
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00739900 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | 28RS0073900 | NJ | |
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
45 US Highway 46 Ste 610
Pine Brook, NJ 07058-9390
Mailing address
PO Box 2578
Secaucus, NJ 07096-2578
Phone (877) 920-2090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151336 | Other | PK |
Other names 1
- HomeCare Rx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151228002349 | NJ | DME Supplier - Pharmacy | 4880995307 | Practice locations: Pine Brook, NJ |
| O20220615000815 | NJ | Part B Supplier - Pharmacy | 4880995307 | Practice locations: Pine Brook, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba InfuCare Rx
- Home Infusion Therapy Pharmacy
- Pine Brook, NJ
- NPI 1851006258
4880995307
National Provider Directory
National Provider Directory- Tax ID family
- Homecare RX Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1063808962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2578",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070962578",
"telephone_number": "877-920-2090",
"fax_number": "877-920-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 US HIGHWAY 46 STE 610",
"city": "PINE BROOK",
"state": "NJ",
"postal_code": "070589390",
"telephone_number": "877-920-2090",
"fax_number": "877-920-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMECARE RX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-08",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-920-2090"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00739900",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS0073900",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2151336",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeCare Rx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HomeCare Rx",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pine Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.