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CORAM ALTERNATE SITE SERVICES INC. NPI 1255387767


NPI Information

NPI: 1255387767
Provider Name: CORAM ALTERNATE SITE SERVICES, INC.

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 11D0999377

Address:
2140 NEW MARKET PKWY
SUITE 106
MARIETTA, GA
ZIP 30067
Phone: (770) 952-3021
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CORAM ALTERNATE SITE SERVICES, INC. is a home infusion therapy pharmacy pharmacy in Marietta, GA. 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. CORAM ALTERNATE SITE SERVICES, INC. NPI is 1255387767. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

2140 NEW MARKET PKWY
SUITE 106
MARIETTA, GA
ZIP 30067-766
Phone: (770) 952-3021
Fax: (770) 952-6840

The provider's authorized official is Craig Weinert .
The authorized official title is President and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 11D0999377 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 3/15/2024.


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
2251F00000XHome InfusionNo
3261QI0500XClinic/CenterInfusion TherapyN/AGEORGIANo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionPHRE006180GEORGIANo
6333600000XPharmacyPHRE006180GEORGIANo
73336C0003XPharmacyCommunity/Retail PharmacyPHRE006180GEORGIANo
83336H0001XPharmacyHome Infusion Therapy PharmacyPHRE006180GEORGIAYes
93336M0002XPharmacyMail Order Pharmacy-PHRE006180GEORGIANo

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
1000676255BMEDICAIDGEORGIA
2PHRE006180OTHERGEORGIARX LICENSE
300676255AMEDICAIDGEORGIA
4000676255EMEDICAIDGEORGIA
51141819OTHERNCPDP

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

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.