Home Medical Supplies and Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-16537 Issued in IL

Legal business name

HOME MEDICAL SUPPLIES AND PHARMACY

Doing business as

Home Care Pharmacy

Practice address

711 Devon Ave
203
Park Ridge, IL 60068-4713

Phone

(847) 292-9984

Fax

(847) 292-9986

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Jignesh Gandhi

Title

President

Phone

(630) 660-1709

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1124270228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DEVON AVE",
            "address_2": "203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684713",
            "telephone_number": "847-292-9984",
            "fax_number": "847-292-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DEVON AVE",
            "address_2": "203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684713",
            "telephone_number": "847-292-9984",
            "fax_number": "847-292-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLIES AND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-660-1709"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-16537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1482568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas E Holmes, LCSW
• Thomas G Holmes, M.D.
• Calla M Holmgren, MD
• Katelyn Holsclaw, LCSW
• Sydney Holt
• Homecare Docs LLC
• Homecare Doctors LLC
• Ethan Homedi, MD
• Karen Homsi, DMD
• Ok Ro Hong, MD

• Community/Retail Pharmacy in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.