PREMIER INFUSION AND HEALTHCARE SERVICES INC. NPI 1417904574

NPI Information

NPI: 1417904574
Provider Name: PREMIER INFUSION AND HEALTHCARE SERVICES, INC.

Former Legal Business Name: PHARMACO, INC. DBA PREMIER INFUSION CARE

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
19500 NORMANDIE AVE
TORRANCE, CA
ZIP 90502
Phone: (866) 365-2525
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PREMIER INFUSION AND HEALTHCARE SERVICES, INC. is a home infusion in Torrance, CA. PREMIER INFUSION AND HEALTHCARE SERVICES, INC. NPI is 1417904574. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pharmaco, Inc. Dba Premier Infusion Care.

The provider's business location address is:

19500 NORMANDIE AVE
TORRANCE, CA
ZIP 90502-108
Phone: (866) 365-2525
Fax: (866) 383-2525

The provider's authorized official is Sina Mordechai Refua .
The authorized official title is Cfo and has the following contact phone number (866) 365-2525.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/27/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health				No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
5	333600000X	Pharmacy				No
6	3336C0002X	Pharmacy	Clinic Pharmacy			No
7	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
8	3336C0004X	Pharmacy	Compounding Pharmacy			No
9	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
10	3336S0011X	Pharmacy	Specialty Pharmacy			No
11	251F00000X	Home Infusion		PHY46682	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PHA466820	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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