NPIMap

Organization Active NPI

Hackensack Meridian Ambulatory Care, Inc.

Doing business as HMH Pharmacy at Eatontown

  • Long Term Care Pharmacy
  • Eatontown, NJ
National Provider Identifier
1881238673
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Doing business as
HMH Pharmacy at Eatontown
Highly Reliable RX
Practice address
34 Industrial Way E
Eatontown, NJ 07724-3319
Phone
(732) 751-3655
Fax
(848) 245-8199
NPI assigned
Nov 5, 2019
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HMH RESIDENTIAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Mr. Richard Hand
Title
Senior Finance Administration
Phone
(732) 481-8529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

34 Industrial Way E
Eatontown, NJ 07724-3319

Mailing address

34 Industrial Way E
Eatontown, NJ 07724-3319
Phone (732) 751-3655

Other identifiers 1

IdentifierTypeStateIssuer
28RS00774900OtherNJLICENSE

Other names 2

  • HMH Pharmacy at Eatontown Doing business as
  • Highly Reliable RX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200302001821 NJ DME Supplier - Pharmacy 8527978774 Practice locations: Eatontown, NJ
O20220825001237 NJ Part B Supplier - Pharmacy 8527978774 Practice locations: Eatontown, NJ

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Meridian Home Care Services Inc25 organizations share this tax ID, including this one
Part of
Meridian Home Care Services Inc

Other organizations with this tax ID 24

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

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

34 Industrial Way E
Ste 6
Eatontown, NJ 07724
Phone (732) 751-3655

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Health Services of New JerseyWoodland Park, NJ, CCN 317058 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control		 May 1, 2017
May 1, 2017
VHS Hospice Services of New JerseyWoodland Park, NJ, CCN 311508 Hospice 5% Or Greater Direct Ownership Interest (50%) May 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Vhsnj at Home, LLC

    dba VHS Hospice Services of New Jersey

    • Community Based Hospice Care Agency
    • Woodland Park, NJ
    • NPI 1174063200

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Vhsnj at Home, LLC

    dba Visiting Health Services of New Jersey

    • Home Health Agency
    • Woodland Park, NJ
    • NPI 1518407642

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

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.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1881238673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 INDUSTRIAL WAY E",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243319",
            "telephone_number": "732-751-3655",
            "fax_number": "848-245-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 INDUSTRIAL WAY E",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243319",
            "telephone_number": "732-751-3655",
            "fax_number": "848-245-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HMH RESIDENTIAL CARE, INC",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SENIOR FINANCE ADMINISTRATION",
        "authorized_official_telephone_number": "732-481-8529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "28RS00774900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMH Pharmacy at Eatontown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HMH Pharmacy at Eatontown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highly Reliable RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.