NPIMap

Organization Active NPI

Homer City Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saltsburg, PA
National Provider Identifier
1245300201
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMER CITY PHARMACY, INC.
Doing business as
SMS Medical Supply
Practice address
237 Washington St
Saltsburg, PA 15681-1131
Phone
(724) 639-9022
Fax
(724) 639-3535
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mr. David Edward Mateer, RPHNPI 1194895367
Title
Pharmacist Owner
Phone
(724) 639-9022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

237 Washington St
Saltsburg, PA 15681-1131

Mailing address

237 Washington St
Saltsburg, PA 15681-1131
Phone (724) 639-9022

Other identifiers 1

IdentifierTypeStateIssuer
1014014820002MedicaidPA

Other names 1

  • SMS Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homer City Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

237 Washington St
Saltsburg, PA 15681
Phone (724) 639-9022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1245300201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WASHINGTON ST",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811131",
            "telephone_number": "724-639-9022",
            "fax_number": "724-639-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WASHINGTON ST",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811131",
            "telephone_number": "724-639-9022",
            "fax_number": "724-639-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER CITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "MATEER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "724-639-9022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014014820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saltsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.