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IVMEDCO INC NPI 1023193158


NPI Information

NPI: 1023193158
Provider Name: IVMEDCO, INC

Other Name: IVMEDCO FORT WORTH

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
3646 GRANBURY RD, STE 102
FORT WORTH, TX
ZIP 76109
Phone: (817) 336-4863
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IVMEDCO, INC is a home infusion therapy pharmacy pharmacy in Fort Worth, TX. The provider is 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. IVMEDCO, INC NPI is 1023193158. The provider is registered as an organization entity type.
The provider Other Name Is Ivmedco Fort Worth.

The provider's business location address is:

3646 GRANBURY RD, STE 102
FORT WORTH, TX
ZIP 76109-717
Phone: (817) 336-4863
Fax: (817) 921-1957

The provider's authorized official is Manohar Miryala .
The authorized official title is Officer and has the following contact phone number (817) 921-1957.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 6/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy Pharmacy13332TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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