Organization Active NPI

Home & Home Pharmacy Inc

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1114401601
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOME & HOME PHARMACY INC
Practice address
8618 Whitney Ave
Elmhurst, NY 11373-3658
Phone
(718) 505-8688
Fax
(718) 505-8988
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Yi Chen
Title
President
Phone
(718) 505-8688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8618 Whitney Ave
Elmhurst, NY 11373-3658

Mailing address

8618 Whitney Ave
Elmhurst, NY 11373-3658
Phone (718) 505-8688

Other identifiers 1

IdentifierTypeStateIssuer
05518218MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190225002574 NY DME Supplier - Pharmacy 7719222918 Practice locations: Elmhurst, NY
O20211108000104 NY Part B Supplier - Pharmacy 7719222918 Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

8618 Whitney Ave
Elmhurst, NY 11373
Phone (718) 505-8688

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1114401601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 WHITNEY AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733658",
            "telephone_number": "718-505-8688",
            "fax_number": "718-505-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 WHITNEY AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733658",
            "telephone_number": "718-505-8688",
            "fax_number": "718-505-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME & HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-505-8688"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05518218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.