Coram Alternate Site Services Inc, NPI 1720187362
Home Infusion Therapy Pharmacy in Redmond, WA, 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 1720187362
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 14935 Ne 87th St, Ste 101, Redmond, WA, 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 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. CF00005203
License State WA
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
14935 Ne 87th St
Ste 101

Redmond, WA, US

Phone: 425-450-0076
Fax: 425-450-7003

Mailing Address

Coram Alternate Site Services Inc
Po Box 809160
Chicago, IL, US
ZIP 606809160
Phone: 303-673-8631
Fax: 303-298-0047

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251E00000X

Agencies

Home Health

IS-265 WA No

251F00000X

Agencies

Home Infusion

IS-265 WA No

261QI0500X

Ambulatory Health Care Facilities

Clinic/Center

WA No

332BP3500X

Suppliers

Durable Medical Equipment & Medical Supplies

CF00005203 WA No

333600000X

Suppliers

Pharmacy

CF00005203 WA No

3336C0003X

Suppliers

Pharmacy

CF00005203 WA No

3336M0002X

Suppliers

Pharmacy

CF00005203 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4924418 NCPDP 01
-CF00005203 WA RX LICENSE 01
BC4456592 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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