CORAM HEALTHCARE CORPORATION OF NEW YORK NPI 1518979947

NPI Information

NPI: 1518979947
Provider Name: CORAM HEALTHCARE CORPORATION OF NEW YORK
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
12 JUPITER LN
ALBANY, NY
ZIP 12205
Phone: (518) 689-2900
Get Directions

CORAM HEALTHCARE CORPORATION OF NEW YORK is a home infusion therapy pharmacy pharmacy in Albany, NY. 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 HEALTHCARE CORPORATION OF NEW YORK NPI is 1518979947. The provider is registered as an organization entity type.

The provider's business location address is:

12 JUPITER LN
ALBANY, NY
ZIP 12205-918
Phone: (518) 689-2900
Fax: (518) 689-2900

The provider's authorized official is Vito Ponzio .
The authorized official title is Sr Vp and has the following contact phone number (303) 672-8631.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 3/7/2023.

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		9694L001	NEW YORK	No
2	251F00000X	Home Infusion		9694L001	NEW YORK	No
3	261QI0500X	Clinic/Center	Infusion Therapy	9694L001	NEW YORK	No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	022519	NEW YORK	No
5	333600000X	Pharmacy		022519	NEW YORK	No
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	022519	NEW YORK	No
7	3336M0002X	Pharmacy	Mail Order Pharmacy	022519	NEW YORK	No
8	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	022519	NEW YORK	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	Other Provider Identifier Issuer
1	01573555	MEDICAID	NEW YORK
2	022519	OTHER	NEW YORK	RX LICENSE
3	3305047	OTHER		NCPDP
4	9694L001	OTHER	NEW YORK	HOME HEALTH AGENCY

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

NPI Synchronization or Removal

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