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 | 251E00000X | Home Health | | | | No |
| 2 | 3336C0004X | Pharmacy | Compounding Pharmacy | | | No |
| 3 | 3336L0003X | Pharmacy | Long Term Care Pharmacy | | | No |
| 4 | 251F00000X | Home Infusion | | | | No |
| 5 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 6 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 7 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
| 8 | 3336H0001X | Pharmacy | Home Infusion Therapy Pharmacy | | | Yes |