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HERITAGE BIOLOGICS LLC. NPI 1679173520


NPI Information

NPI: 1679173520
Provider Name: HERITAGE BIOLOGICS, LLC.
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
13747 MONTFORT DR STE 170
DALLAS, TX
ZIP 75240
Phone: (816) 875-5101
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HERITAGE BIOLOGICS, LLC. is a home infusion therapy pharmacy pharmacy in Dallas, 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. HERITAGE BIOLOGICS, LLC. NPI is 1679173520. The provider is registered as an organization entity type.

The provider's business location address is:

13747 MONTFORT DR STE 170
DALLAS, TX
ZIP 75240-454
Phone: (816) 875-5101

The provider's authorized official is Kathryn Pederson .
The authorized official title is Compliance Director and has the following contact phone number (816) 875-8269.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 8/9/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3251F00000XHome InfusionNo
4333600000XPharmacyNo
53336S0011XPharmacySpecialty PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133489OTHERTEXASSTATE PERMIT

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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