PROFESSIONAL HOME IV INC NPI 1053341966

NPI Information

NPI: 1053341966
Provider Name: PROFESSIONAL HOME IV INC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
182 S BIRCH ST
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-8737
Get Directions

PROFESSIONAL HOME IV INC is a home infusion therapy pharmacy pharmacy in Soldotna, AK. 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. PROFESSIONAL HOME IV INC NPI is 1053341966. The provider is registered as an organization entity type.

The provider's business location address is:

182 S BIRCH ST
SOLDOTNA, AK
ZIP 99669-020
Phone: (907) 262-8737
Fax: (907) 260-7405

The provider's authorized official is James K Henderson .
The authorized official title is President and has the following contact phone number (907) 262-8737.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/8/2016.

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	3336L0003X	Pharmacy	Long Term Care Pharmacy	PHAR490	ALASKA	No
2	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	490	ALASKA	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
1	1619615	MEDICAID	ALASKA
2	1028530	MEDICAID	ALASKA
3	MS1723	MEDICAID	ALASKA
4	0615290001	MEDICARE NSC	ALASKA
5	1021642	MEDICAID	ALASKA
6	PH0246	MEDICAID	ALASKA

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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