Organization Active NPI

St Lukes Homestar Services LLC

Doing business as ST. LUKE'S HOMESTAR PHARMACY - Allentown

  • Community/Retail Pharmacy
  • Allentown, PA
National Provider Identifier
1164745444
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482014 Issued in PA
Legal business name
ST LUKES HOMESTAR SERVICES LLC
Doing business as
ST. LUKE'S HOMESTAR PHARMACY - Allentown
Practice address
1736 Hamilton St
1St Floor - South Tower
Allentown, PA 18104-5656
Phone
(610) 628-7577
Fax
(610) 628-7579
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Joseph Borgioni
Title
Administrator
Phone
(484) 526-7650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PP482014 PA Primary

Addresses

Primary practice location

1736 Hamilton St
1St Floor - South Tower
Allentown, PA 18104-5656

Mailing address

1736 Hamilton St
1St Floor - South Tower
Allentown, PA 18104-5656
Phone (610) 628-7577

Other identifiers 2

IdentifierTypeStateIssuer
2124004OtherPK
1021947390006MedicaidPA

Other names 1

  • ST. LUKE'S HOMESTAR PHARMACY - Allentown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Homestar Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1736 Hamilton St
Fl 1
Allentown, PA 18104
Phone (610) 628-7577

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1164745444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 HAMILTON ST",
            "address_2": "1ST FLOOR - SOUTH TOWER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045656",
            "telephone_number": "610-628-7577",
            "fax_number": "610-628-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 HAMILTON ST",
            "address_2": "1ST FLOOR - SOUTH TOWER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045656",
            "telephone_number": "610-628-7577",
            "fax_number": "610-628-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES HOMESTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "BORGIONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "484-526-7650"
    },
    "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": "PA",
            "license": "PP482014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021947390006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. LUKE'S HOMESTAR PHARMACY - Allentown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. LUKE'S HOMESTAR PHARMACY - Allentown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.