Organization
HOMESTEAD PHARMACY
Active
Other names
HOMESTEAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DONATO (MANAGER)
(732) 222-5400
Entity
Organization
Contact information
Practice address
601 BROADWAY, LONG BRANCH, NJ 07740-5906
(732) 222-5400
(732) 571-9688
Mailing address
601 BROADWAY, LONG BRANCH, NJ 07740-5906
(732) 222-5400
(732) 571-9688
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00040700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054421
PK
—
05
—
4246900
—
NJ
Enumeration date
09/30/2006
Last updated
02/26/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up