Active NPI
Integrated Medication Management LLC
Doing business as HomeFree Pharmacy Services
- Long Term Care Pharmacy
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- INTEGRATED MEDICATION MANAGEMENT LLC
- Doing business as
- HomeFree Pharmacy Services
- Practice address
- 136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725 - Phone
- (856) 380-1828
- NPI assigned
- Jun 18, 2017
- Last updated
- Mar 7, 2023
- 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
- Kevin Matthew Williams
- Title
- Director of Pharmacy
- Phone
- (856) 380-1828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Mailing address
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Phone (856) 380-1828
Other names 1
- HomeFree Pharmacy Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210910001996 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890191126 | Practice locations: Mount Laurel, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Bayada Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba BAYADA Pharmacy
- Long Term Care Pharmacy
- Mount Laurel, NJ
- NPI 1518517085
-
- Long Term Care Pharmacy
- Mount Laurel, NJ
- NPI 1811560337
Locations
101 Executive Dr
Ste 10
Moorestown, NJ 08057
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.
-
- Pharmacist
- Mount Laurel, NJ
- NPI 1730496951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1588194922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 GAITHER DR STE 120",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541725",
"telephone_number": "856-380-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 GAITHER DR STE 120",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541725",
"telephone_number": "856-380-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED MEDICATION MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-18",
"last_updated": "2023-03-07",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "856-380-1828"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeFree Pharmacy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Laurel, NJ
- Matthew Ingemi
- Innova Burlington Church Operations LLC (Mount Laurel Center for Rehabilitation & Healthcare)
- Innovative Training and Healthcare Solutions (NP Cardiology Consultants)
- Integrated Medication Management (BAYADA Pharmacy)
- Integrated Medication Management
- Integrative Medicine and Biofeedback Clinic
- Integrative Training & Consulting, LLC
- Integrative Wellness and Health LLC (Alpine Psychiatry)
- Intellihealth, Inc. (Mount Laurel Family Medicine)
- Ilya Ivanov, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.