Coram Alternate Site Services Inc, NPI 1326095852
Home Infusion Therapy Pharmacy in New Berlin, WI, 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 | 1326095852 |
| 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 | 5345 S Moorland Rd, Ste 101, New Berlin, WI, US |
| Provider Mailing Address | Po Box 809160, Chicago, IL, US, 606809160 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Tricia Lacavich |
| Official Position | PRESIDENT |
| Phone | 314-306-3255 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Infusion Therapy Pharmacy |
| Classification | |
| Group | |
| License No. | 8906-042 |
| License State | WI |
| 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? |
|---|---|---|---|---|---|
| 247 | WI | No | |||
| 247 | WI | No | |||
| N/A | WI | No | |||
| No | |||||
| 8906-042 | WI | No | |||
| 8906-042 | WI | No | |||
| 8906-042 | WI | No | |||
| 8906-042 | WI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 5122433 | NCPDP | 01 | |
| 8906-042 | WI | PHARMACY | 01 |
| FC1211731 | DEA | 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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