NPIMap

Organization Active NPI

Homestar Pharmacy Mail Order

  • Community/Retail Pharmacy
  • Bethlehem, PA
National Provider Identifier
1902164049
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482014 Issued in PA
Legal business name
HOMESTAR PHARMACY MAIL ORDER
Practice address
77 S Commerce Way Ste 230
Bethlehem, PA 18017-8891
Phone
(610) 628-8900
NPI assigned
Apr 26, 2012
Organization subpart
Yes
Parent organization
ST. LUKE'S HOMESTAR SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482014 PA Primary

Addresses

Primary practice location

77 S Commerce Way Ste 230
Bethlehem, PA 18017-8891

Mailing address

77 S Commerce Way Ste 230
Bethlehem, PA 18017-8891
Phone (610) 628-8900

Other identifiers 2

IdentifierTypeStateIssuer
102194739-0008MedicaidPA
1021947390006MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Homestar Services11 organizations share this tax ID, including this one
Part of
St Lukes Homestar Services

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1902164049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY STE 230",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178891",
            "telephone_number": "610-628-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY STE 230",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178891",
            "telephone_number": "610-628-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTAR PHARMACY MAIL ORDER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S HOMESTAR SERVICES LLC",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "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"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102194739-0008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021947390006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2024; 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.