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HERITAGE BIOLOGICS LLC. NPI 1679943229


NPI Information

NPI: 1679943229
Provider Name: HERITAGE BIOLOGICS, LLC.

Former Legal Business Name: HERITAGE BIOLOGICS, INC.

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
255 NW VICTORIA DR STE B
LEES SUMMIT, MO
ZIP 64086
Phone: (855) 937-7273
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HERITAGE BIOLOGICS, LLC. is a home infusion therapy pharmacy pharmacy in Lees Summit, MO. 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 1679943229. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Heritage Biologics, Inc..

The provider's business location address is:

255 NW VICTORIA DR STE B
LEES SUMMIT, MO
ZIP 64086-709
Phone: (855) 937-7273
Fax: (844) 402-3945

The provider's authorized official is Kathryn Pederson .
The authorized official title is Compliance Director and has the following contact phone number (816) 875-5101.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 8/26/2021.


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
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4333600000XPharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336H0001XPharmacyHome 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
11673661MEDICAIDALASKA
21679943229MEDICAIDINDIANA
31679943229MEDICAIDIOWA
41679943229MEDICAIDUTAH
5200661640AMEDICAIDOKLAHOMA
6201124950AMEDICAIDKANSAS
72205595MEDICAIDLOUISIANA
85222688MEDICAIDNEW YORK
90229129MEDICAIDOHIO
10103324159MEDICAIDPENNSYLVANIA
11167943229MEDICAIDTENNESSEE
121679943229MEDICAIDARKANSAS
13600026061MEDICAIDMISSOURI
147M3667MEDICAIDSOUTH CAROLINA
151679943229MEDICAIDILLINOIS
162154209OTHERPK
17300325600MEDICAIDMARYLAND
187100506060MEDICAIDKENTUCKY
191679943229MEDICAIDNEW MEXICO
201030474MEDICAIDVERMONT
21114015MEDICAIDNEW HAMPSHIRE
221679943229MEDICAIDMISSOURI
233110366MEDICAIDNEW HAMPSHIRE
241679943229MEDICAIDVIRGINIA
251679943229MEDICAIDIDAHO
261679943229MEDICAIDMONTANA
271679943229MEDICAIDARIZONA
281679943229MEDICAIDNEBRASKA
291679943229MEDICAIDMICHIGAN
302081347MEDICAIDWASHINGTON
310589331MEDICAIDNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.