NPIMap

Organization Active NPI

St Lukes Homestar Services LLC

Doing business as HOMESTAR PHARMACY -Bethlehem

  • Community/Retail Pharmacy
  • Bethlehem, PA
National Provider Identifier
1790945640
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481615 Issued in PA
Legal business name
ST LUKES HOMESTAR SERVICES LLC
Doing business as
HOMESTAR PHARMACY -Bethlehem
Practice address
801 Ostrum St
Ste 101 a
Bethlehem, PA 18015-1000
Phone
(484) 526-7500
Fax
(484) 526-5199
NPI assigned
Jun 13, 2008
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Joseph Borgioni, PHARMACIST
Title
Administrator
Phone
(484) 526-7650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481615 PA Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

801 Ostrum St
Ste 101 a
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Ste 101 a
Bethlehem, PA 18015-1000
Phone (484) 526-7500

Other identifiers 2

IdentifierTypeStateIssuer
2082578OtherPK
1021947390001MedicaidPA

Other names 1

  • HOMESTAR PHARMACY -Bethlehem Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homestar Pharmacy Mail Order11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Ostrum St
Ste 101
Bethlehem, PA 18015
Phone (484) 526-7500

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1790945640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "STE 101 A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-7500",
            "fax_number": "484-526-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "STE 101 A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-7500",
            "fax_number": "484-526-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES HOMESTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "BORGIONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "484-526-7650",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481615",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021947390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTAR PHARMACY -Bethlehem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.