CORAM ALTERNATE SITE SERVICES INC. NPI 1518073832

NPI Information

NPI: 1518073832
Provider Name: CORAM ALTERNATE SITE SERVICES, INC.
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
1009 LARK ST
SUITE 2
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 434-0110
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CORAM ALTERNATE SITE SERVICES, INC. is a home infusion therapy pharmacy pharmacy in Johnson City, TN. 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. CORAM ALTERNATE SITE SERVICES, INC. NPI is 1518073832. The provider is registered as an organization entity type.

The provider's business location address is:

1009 LARK ST
SUITE 2
JOHNSON CITY, TN
ZIP 37604-217
Phone: (423) 434-0110
Fax: (423) 434-0095

The provider's authorized official is Tricia L Lacavich .
The authorized official title is President and has the following contact phone number (318) 407-1785.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/7/2023.

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	251F00000X	Home Infusion				No
3	261QI0500X	Clinic/Center	Infusion Therapy			No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0000001704	TENNESSEE	No
5	333600000X	Pharmacy		0000001704	TENNESSEE	No
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	0000001704	TENNESSEE	No
7	3336M0002X	Pharmacy	Mail Order Pharmacy	0000001704	TENNESSEE	No
8	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	0000001704	TENNESSEE	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	0445486	MEDICAID	NORTH CAROLINA
2	4426892	OTHER		NCPDP
3	7701520	MEDICAID	NORTH CAROLINA
4	145206	MEDICAID	TENNESSEE
5	009111158	MEDICAID	VIRGINIA
6	0000001704	OTHER	TENNESSEE	RX LICENSE
7	008506671	MEDICAID	VIRGINIA

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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