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 | 3336M0002X | Pharmacy | Mail Order Pharmacy | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 3336H0001X | Pharmacy | Home Infusion Therapy Pharmacy | | | No |
| 4 | 347C00000X | Private Vehicle | | | | No |
| 5 | 251G00000X | Hospice Care, Community Based | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 3336L0003X | Pharmacy | Long Term Care Pharmacy | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 3336C0003X | Pharmacy | Community/Retail Pharmacy | | | No |
| 11 | 332U00000X | Home Delivered Meals | | | | No |
| 12 | 251E00000X | Home Health | | | | Yes |