Provider Demographics
NPI:1528362076
Name:HOMESCRIPTS.COM, LLC
Entity Type:Organization
Organization Name:HOMESCRIPTS.COM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:CICCOLELLA-KALH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-511-5144
Mailing Address - Street 1:PO BOX 956780
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-6780
Mailing Address - Country:US
Mailing Address - Phone:888-239-7690
Mailing Address - Fax:
Practice Address - Street 1:500 KIRTS BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4135
Practice Address - Country:US
Practice Address - Phone:888-239-7690
Practice Address - Fax:877-396-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332BP3500X, 3336S0011X
MI5301010710333600000X, 3336C0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No251F00000XAgenciesHome Infusion
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5315048311OtherSTATE OF MICHIGAN BOARD OF PHARMACY CONTROLLED PHARMACY LICENSE
MI5301009472OtherSTATE OF MICHIGAN BOARD OF PHARMACY - PHARMACY LICENSE
MI5301009472OtherSTATE OF MICHIGAN BOARD OF PHARMACY - PHARMACY LICENSE
MI6822310001Medicare NSC