Individual provider Active NPI

Brian Host, PHARMD

  • Pharmacist
  • Bayonne, NJ
National Provider Identifier
1700534146
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02727100 Issued in NJ
Practice address
861 Broadway
Bayonne, NJ 07002-3031
Phone
(201) 436-4488
Fax
(201) 436-0240
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02727100 NJ Primary

Addresses

Primary practice location

861 Broadway
Bayonne, NJ 07002-3031

Mailing address

861 Broadway
Bayonne, NJ 07002-3031
Phone (201) 436-4488

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

LicenseStateTypeSpecialty
28RI02727100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudacko'S Pharmacy Inc CurrentSince Mar 20, 2022 Accepting new patients
Hudacko'S Pharmacy Inc CurrentSince Mar 20, 2022 Accepting new patients

Locations

861 Broadway
Bayonne, NJ 07002
Phone (201) 436-4488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1700534146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023031",
            "telephone_number": "201-436-4488",
            "fax_number": "201-436-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023031",
            "telephone_number": "201-436-4488",
            "fax_number": "201-436-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOST",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02727100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.