Provider Type Icon

IVEDCO LLC NPI 1922069525


NPI Information

NPI: 1922069525
Provider Name: IVEDCO, LLC

Doing Business As: KABAFUSION TX

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4950 WESTGROVE DR
DALLAS, TX
ZIP 75248
Phone: (800) 333-0660
Get Directions

IVEDCO, LLC is a pharmacy in Dallas, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. IVEDCO, LLC NPI is 1922069525. The provider is registered as an organization entity type.
The provider Is Doing Business As Kabafusion Tx.

The provider's business location address is:

4950 WESTGROVE DR
DALLAS, TX
ZIP 75248-924
Phone: (800) 333-0660
Fax: (888) 837-2716

The provider's authorized official is Sohail Masood .
The authorized official title is President and has the following contact phone number (800) 435-3020.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 3/17/2021.


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
1251E00000XHome HealthNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyNo
73336S0011XPharmacySpecialty PharmacyNo
8333600000XPharmacyYes

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
12104139OTHERPK
21218679-05 / 1922069MEDICAIDTEXAS
3100814810 AMEDICAIDOKLAHOMA
4100814810 CMEDICAIDOKLAHOMA
5321002MEDICAIDTEXAS

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.