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CORAM ALTERNATE SITE SERVICES INC. NPI 1528070992


NPI Information

NPI: 1528070992
Provider Name: CORAM ALTERNATE SITE SERVICES, INC.
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 32D1009469

Address:
7400 WASHINGTON ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 344-0900
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CORAM ALTERNATE SITE SERVICES, INC. is a home infusion therapy pharmacy pharmacy in Albuquerque, NM. 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 1528070992. The provider is registered as an organization entity type.

The provider's business location address is:

7400 WASHINGTON ST NE
ALBUQUERQUE, NM
ZIP 87109-561
Phone: (505) 344-0900
Fax: (505) 344-2765

The provider's authorized official is Sandy L Campa .
The authorized official title is Sr Consultant and has the following contact phone number (909) 799-4174.

The CLIA number assigned to this NPI record is 32D1009469 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/20/2019.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionPH00001736NEW MEXICONo
2333600000XPharmacyPH00001736NEW MEXICONo
33336C0003XPharmacyCommunity/Retail PharmacyPH00001736NEW MEXICONo
4251E00000XHome Health6754NEW MEXICONo
5251F00000XHome Infusion6754NEW MEXICONo
6261QI0500XClinic/CenterInfusion Therapy6754NEW MEXICONo
73336H0001XPharmacyHome Infusion Therapy PharmacyPH00001736NEW MEXICOYes
83336M0002XPharmacyMail Order PharmacyPH00001736NEW MEXICONo

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
13208976OTHERNCPDP
26754OTHERNEW MEXICOHOME HEALTH AGENCY
3BC4487991OTHERDEA
4F4497MEDICAIDNEW MEXICO
598953338MEDICAIDNEW MEXICO
6PH00001736OTHERNEW MEXICORX LICENSE
73176OTHERNEW MEXICOHEALTH CARE FACILITY

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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