Kroger Specialty Infusion Ca, Llc, NPI 1033135983
Home Infusion Therapy Pharmacy in Torrance, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1033135983 |
| NPI Entity Type | Organization |
| Provider Name | Kroger Specialty Infusion Ca, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 19110 Van Ness Ave, Torrance, CA, US |
| Provider Mailing Address | 19110 Van Ness Ave, Torrance, CA, US, 905011101 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Debra J Cole |
| Official Position | VICE PRESIDENT |
| Phone | 855-733-3126 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Infusion Therapy Pharmacy |
| Classification | |
| Group | |
| License No. | PHY54649 |
| License State | CA |
| Description | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| PHY54649 | CA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 201249880A | IN | MEDICAID | 05 |
| 0643688 | NJ | MEDICAID | 05 |
| 200520480A | OK | MEDICAID | 05 |
| Q035652 | TN | MEDICAID | 05 |
| 1033135983 | MN | MEDICAID | 05 |
| 2034743 | WA | MEDICAID | 05 |
| 315377 | AZ | MEDICAID | 05 |
| 7100285000 | KY | MEDICAID | 05 |
| 1033135983 | CA | MEDICAID | 05 |
| 500671966 | OR | MEDICAID | 05 |
| 9000151429 | CO | MEDICAID | 05 |
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