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PAVILION INFUSION THERAPY INC NPI 1962413500


NPI Information

NPI: 1962413500
Provider Name: PAVILION INFUSION THERAPY INC

Doing Business As: BAPTIST INFUSION THERAPY

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 10D2216406

Address:
3563 PHILIPS HWY
STE 202
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-5730
Get Directions

PAVILION INFUSION THERAPY INC is a home infusion therapy pharmacy pharmacy in Jacksonville, FL. 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. PAVILION INFUSION THERAPY INC NPI is 1962413500. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Infusion Therapy.

The provider's business location address is:

3563 PHILIPS HWY
STE 202
JACKSONVILLE, FL
ZIP 32207-663
Phone: (904) 202-5730
Fax: (904) 398-2225

The provider's authorized official is Christopher Durkin .
The authorized official title is Vp and has the following contact phone number (904) 202-5887.

The CLIA number assigned to this NPI record is 10D2216406 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/16/2017.


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
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyPH13801FLORIDAYes

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
1102335700MEDICAIDFLORIDA
21197040001MEDICARE NSC
32011769OTHERPK

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

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