Homestead Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOMESTEAD MEDICAL PHARMACY INC

Practice address

854 N Krome Ave
Homestead, FL 33030-4407

Phone

(305) 248-1310

Fax

(305) 248-5809

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Fabio Oses

Title

Pharmacist

Phone

(314) 993-6000

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124154521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304407",
            "telephone_number": "305-248-1310",
            "fax_number": "305-248-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304407",
            "telephone_number": "305-248-1310",
            "fax_number": "305-248-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OSES",
        "authorized_official_first_name": "FABIO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH12464",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102493100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102493101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1070553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Homestead Hospital, Inc.
• Homestead Medical Center LLC
• Homestead Medical Clinic, P.a
• Homestead Medical Diagnostic Inc
• Homestead Medical Equipment & Supplies, Inc
• Homestead Medical Research, Inc.
• Homestead Mental Center LLC
• Homestead Mental Health Community Inc
• Homestead Modern Dentistry, PA
• Homestead Pediatric Associates, Inc.

• Community/Retail Pharmacy in Homestead, FL
• Providers in Homestead, FL by specialty
• Community/Retail Pharmacy in Florida

• 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.