Organization Active NPI

Homescripts.Com, LLC

  • Community/Retail Pharmacy
  • Shelby Township, MI
National Provider Identifier
1528362076
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010710 Issued in MI
Legal business name
HOMESCRIPTS.COM, LLC
Practice address
12968 Pauline Dr
Shelby Township, MI 48315-3121
Phone
(888) 239-7690
Fax
(877) 396-5970
NPI assigned
Dec 27, 2010
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ACARIAHEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Jessica Dawn Ciccolella-Kalh
Title
President
Phone
(800) 511-5144

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X 5301010710 MI
Community/Retail Pharmacy 3336C0003X 5301010710 MI Primary
Mail Order Pharmacy 3336M0002X 5301010710 MI
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12968 Pauline Dr
Shelby Township, MI 48315-3121

Mailing address

PO Box 956780
Saint Louis, MO 63195-6780
Phone (888) 239-7690

Other identifiers 1

IdentifierTypeStateIssuer
1528362076MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000352 MI DME Supplier - Pharmacy 2567606510 Practice locations: Shelby Township, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Homescripts.Com LLC12968 Pauline Dr, Shelby Township, MI 48315-3121(888) 239-7690 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 25, 2013

National Provider Directory

National Provider Directory

Locations

12968 Pauline Dr
Shelby Township, MI 48315
Phone (888) 239-7690

500 Kirts Blvd
Ste 300
Troy, MI 48084
Phone (248) 824-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1528362076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956780",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631956780",
            "telephone_number": "888-239-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 PAULINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153121",
            "telephone_number": "888-239-7690",
            "fax_number": "877-396-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESCRIPTS.COM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACARIAHEALTH, INC.",
        "enumeration_date": "2010-12-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "CICCOLELLA-KALH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-511-5144"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010710",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010710",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MI",
            "license": "5301010710",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528362076",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.