Active NPI
Matste Inc
Doing business as The Hometown Pharmacy Long Term Care
- Long Term Care Pharmacy
- Brookfield, OH
National Provider Identifier
1285235614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MATSTE INC
- Doing business as
- The Hometown Pharmacy Long Term Care
- Practice address
- 7160 Warren Sharon Rd
Brookfield, OH 44403-9657 - Phone
- (330) 448-8009
- Fax
- (330) 448-8029
- NPI assigned
- Nov 3, 2020
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald T McDermott, RPH
- Title
- SVP Operations
- Phone
- (330) 318-3926
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
7160 Warren Sharon Rd
Brookfield, OH 44403-9657
Mailing address
8571 Foxwood CT Ste a
Poland, OH 44514-4313
Phone (330) 318-3926
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102317220 | Medicaid | PA | |
| 2916910 | Medicaid | OH |
Other names 1
- The Hometown Pharmacy Long Term Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.thehometownpharmacies.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Matste Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1285235614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8571 FOXWOOD CT STE A",
"city": "POLAND",
"state": "OH",
"postal_code": "445144313",
"telephone_number": "330-318-3926",
"fax_number": "330-318-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 WARREN SHARON RD",
"city": "BROOKFIELD",
"state": "OH",
"postal_code": "444039657",
"telephone_number": "330-448-8009",
"fax_number": "330-448-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATSTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "MCDERMOTT",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SVP OPERATIONS",
"authorized_official_telephone_number": "330-318-3926",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102317220",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2916910",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.thehometownpharmacies.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "7160 Warren Sharon Rd",
"city": "Brookfield",
"state": "OH",
"country_code": "US",
"postal_code": "444039657",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Hometown Pharmacy Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.