Overview
Homerun General Stores is a Community/Retail Pharmacy (organization) practicing in Decatur, Illinois. The National Provider Identifier (NPI) is #1962081190, which was assigned on April 5, 2021, and the registration record was last updated on August 6, 2021. The practitioner's main practice location is at 806 S Jasper St, Decatur, IL 62521-3543; the contact telephone number is 2178481449. The primary taxonomy of Homerun General Stores is Community/Retail Pharmacy (3336C0003X), with specialization in Community/Retail Pharmacy. The authorized official for Homerun General Stores is Ribhi Qattoum (Pharmacists/Owner).
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider Information
| NPI | 1962081190 |
| Entity Type | Organization |
| Organization Name | HOMERUN GENERAL STORES |
| Provider Name | HOMERUN GENERAL STORES |
| Practice Address | 806 S Jasper St Decatur IL 62521-3543 |
| Practice Telephone | 2178481449 |
| Mailing Address | 806 S Jasper St Decatur IL 62521-3543 |
| Certification Date | 2021-08-06 |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-08-06 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | RIBHI QATTOUM |
| Official Title | PHARMACISTS/OWNER |
| Credential | PHARM.D |
| Telephone | 2178481449 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 3336C0003X | Pharmacy | Community/Retail Pharmacy |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 1275129314 | IL | PERSONAL NPI | Other |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| Homerun Food and Pharmacy | Doing Business As Name |
Taxonomy Information
Primary Taxonomy
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| 1918 Winter Street Operating Co LLC | 7 Corporate Dr, Keene, NH 03431-5042 | Community/Retail Pharmacy | 2024-05-09 |
| Winding Waters Medical Clinic | 501 W North St, Enterprise, OR 97828-1044 | Community/Retail Pharmacy | 2024-05-09 |
| Curecrafter Rx Inc | 17824 Jamaica Ave, Jamaica, NY 11432-5616 | Community/Retail Pharmacy | 2024-05-09 |
| Omni Family Health | 4815 E Butler Ave Ste B, Fresno, CA 93727-5015 | Community/Retail Pharmacy | 2024-05-08 |
| Access Pharmacy Inc | 5910 99th St, Flushing, NY 11368-4304 | Community/Retail Pharmacy | 2024-05-07 |
| Pleasant Hills Rx LLC | 25 Gill Hall Rd Ste 2, Clairton, PA 15025-3004 | Community/Retail Pharmacy | 2024-05-08 |
| Stacey Rene Blackmon | 606 W Main St Ste A, Cookeville, TN 38506-5395 | Community/Retail Pharmacy | 2024-05-07 |
| Phenix Rx LLC | 10374 Highway 165 N Ste C, Sterlington, LA 71280-3369 | Community/Retail Pharmacy | 2024-05-07 |
| Vital Health Pharmacy LLC | 17950 Woodward Ave Ste 2, Detroit, MI 48203-2260 | Community/Retail Pharmacy | 2024-05-10 |
| 10412 China Spring Rd Ste A, Waco, TX 76708-5685 | Community/Retail Pharmacy | 2024-05-10 | |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 806 S JASPER ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3543 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ribhi Qattoum | 806 S Jasper St, Decatur, IL 62521-3543 | Pharmacist | 2020-12-14 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alicia Elaine Corman | 1800 E. Lake Shore Drive, Decatur, IL 62521 | Occupational Therapist | 2012-07-03 |
| Caleb David Braasch | 1818 South Airport Rd, Decatur, IL 62521 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2020-09-16 |
| Suzette Marie Shafer | 1790 S. Fairview Ave., Decatur, IL 62521 | Occupational Therapy Assistant | 2010-09-13 |
| Jonathan R Bradley | 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 | Optometrist | 2008-06-25 |
| Zack Shaw | 4855-57 East 36, Decatur, IL 62521 | Physical Therapist | 2017-08-23 |
| Crossing Recovery Center | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | Substance Abuse Rehabilitation Facility | 2019-05-03 |
| Kelly Clark Dds PC · Decatur Dental Care | 3737 Us Rt 36 E, Decatur, IL 62521 | General Practice Dentistry | 2009-05-19 |
| Community Health Improvement Center Health Dept Satellite | 1221 East Condit Street, Decatur, IL 62521 | Federally Qualified Health Center (FQHC) | 2010-02-08 |
| Autumn Leaves, Inc. · Hickory Street Place | 3905 E. Hickory St., Decatur, IL 62521 | Intellectual Disabilities Intermediate Care Facility | 2007-03-05 |
| William Garver Gillen | 1770 East Lakeshore Drive, Suite 209, Decatur, IL 62521 | Professional Counselor | 2006-12-26 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lanaster General Hospital · Penn Fertility Care Lancaster General Health | 2112 Harrisburg Pike Ste 110, Lancaster, PA 17601-2644 | Obstetrics & Gynecology Physician | 2019-05-29 |
| Forrest County General Hospital · Marion General Rural Health Clinic | 1560 Sumrall Road, Columbia, MS 39429 | Rural Health Clinic/Center | 2014-08-20 |
| Mass General Waltham · General Hospital Corp | 52 Second Ave Fl 4, Waltham, MA 02451-1127 | Health Service Clinic/Center | 2006-10-02 |
| Tampa General Medical Group Inc · Tgmg General Surgery 17222 Hospital Boulevard | 17222 Hospital Blvd Ste 242, Brooksville, FL 34601-8925 | Surgery Physician | 2023-09-26 |
| Tampa General Provider Network Inc · Tampa General Hospital General Surgeons of The Palm Beaches | 1630 S Congress Ave Ste 200, Palm Springs, FL 33461-2171 | Gastroenterology Physician | 2021-04-30 |
| Artesia General Hospital · Southwestern General Medical Center | 702 N 13th St, Artesia, NM 88210-1166 | Psychiatric Hospital Unit | 2007-05-31 |
| 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | Hematology & Oncology Physician | 2005-11-25 | |
| Tampa General Provider Network Inc · Tampa General Hospital General Surgeons of The Palm Beaches | 1201 N Olive Ave, West Palm Beach, FL 33401-3515 | Surgery Physician | 2021-08-12 |
| General Hospital Corp · Mass General Waltham Outpatient Pharmacy | 40 2nd Ave Fl 4, Waltham, MA 02451-1132 | Clinic/Center | 2017-04-11 |
| Homerun Transition Services LLC · Mylight Transportation LLC | 33 Battle Creek Pl, Saint Paul, MN 55119-4909 | Case Management Agency | 2017-05-26 |
Improve Information
Do you have more infomration about Homerun General Stores? Please fill in the following form.
Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
