Coram Alternate Site Services, Inc., NPI 1326093899
Home Infusion Therapy Pharmacy in Omaha, NE, US

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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 1326093899
NPI Entity Type Organization
Provider Name Coram Alternate Site Services, Inc.
Doing Business As
Subpart of Organization Coram Alternate Site Services, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 11111 Mill Valley Road, Omaha, NE, US
Provider Mailing Address Po Box 809160, Chicago, IL, US, 606809160
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Tricia President Lacavich
Official Position PRESIDENT
Phone 314-306-3255

Primary Taxonomy

Taxonomy Code

3336H0001X

Taxonomy Name Home Infusion Therapy Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 2245
License State NE
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.

Other Organization Name

Coram CVS/specialty Infusion Services
Doing Business As

Business Address

Coram Alternate Site Services, Inc.
11111 Mill Valley Road

Omaha, NE, US

Phone: 402-330-5482
Fax: 402-330-2697

Mailing Address

Coram Alternate Site Services, Inc.
Po Box 809160
Chicago, IL, US
ZIP 606809160
Phone: 866-224-5134

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
476 NE PHARAMCY 01
BC4430853 DEA 01
2814641 NCPDP 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.667.2 OTHER Yes 100 N 6th St Ste 900A, Minneapolis, MN, US

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