Homestead Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00040700 Issued in NJ

Legal business name

HOMESTEAD PHARMACY

Doing business as

Homestead Pharmacy

Practice address

601 Broadway
Long Branch, NJ 07740-5906

Phone

(732) 222-5400

Fax

(732) 571-9688

NPI assigned

Sep 30, 2006

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Donato

Title

Manager

Phone

(732) 222-5400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOMESTEAD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1770676116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405906",
            "telephone_number": "732-222-5400",
            "fax_number": "732-571-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405906",
            "telephone_number": "732-222-5400",
            "fax_number": "732-571-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-222-5400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00040700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4246900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTEAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spoorthi Hiremagalore, DO
• Michelle Elaine Hirsch, RN
• Kyrie Anne Holbert, CRNA
• Barbara Holstein, ED.D.
• Russell M. Holstein, PH.D.
• Elizabeth Hooker
• Horizon Blue ABA NJ LLC
• Michelle Horowitz-Firestone
• Mostafa Walid Saaed Muhamed Hosney, MD
• Hospital Medicine of Monmouth County

• Community/Retail Pharmacy in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.