Homerun General Stores

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOMERUN GENERAL STORES

Doing business as

Homerun Food and Pharmacy

Practice address

806 S Jasper St
Decatur, IL 62521-3543

Phone

(217) 848-1449

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Ribhi Qattoum, PHARM.DNPI 1275129314

Title

Pharmacists/Owner

Phone

(217) 848-1449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homerun Food and Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ribhi Qattoum, PHARM D

  • Pharmacist
  • Decatur, IL
  • NPI 1275129314
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1962081190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S JASPER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S JASPER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213543",
            "telephone_number": "217-848-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMERUN GENERAL STORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "QATTOUM",
        "authorized_official_first_name": "RIBHI",
        "authorized_official_title_or_position": "PHARMACISTS/OWNER",
        "authorized_official_telephone_number": "217-848-1449",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1275129314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homerun Food and Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Peter Holland, MD
• Sheila Ann Hollinden, CRNA
• Shawala Holloway
• Kasey Holt, CLC
• David L Holtzscher, ATC
• Carmeka D Honorable, APRN
• Gina M Hoots, MSED, RRT
• Hope and Healing Behavioral Health PLLC
• Peter Hopkins
• Christiana Marie Hopper, LCPC

• Community/Retail Pharmacy in Decatur, IL
• Providers in Decatur, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.