Active NPI
Jeffrey Hom, PHARMD
- Pharmacist
- Stoneham, MA
National Provider Identifier
1548984875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH241116
- Practice address
- 107 Main St
Stoneham, MA 02180-3305 - Phone
- (781) 438-3170
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH241116 | MA | Primary |
Addresses
Primary practice location
107 Main St
Stoneham, MA 02180-3305
Mailing address
15 Executive Dr Unit 201
Stoneham, MA 02180-0015
Phone (347) 285-8715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH241116 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1548984875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EXECUTIVE DR UNIT 201",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021800015",
"telephone_number": "347-285-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MAIN ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021803305",
"telephone_number": "781-438-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOM",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH241116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.