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HERITAGE BIOLOGICS LLC NPI 1679943229


NPI Information

NPI: 1679943229
Provider Name: HERITAGE BIOLOGICS, LLC

Former Legal Business Name: HERITAGE BIOLOGICS, INC.

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
255 NW VICTORIA DR STE B
LEES SUMMIT, MO
ZIP 64086
Phone: (855) 937-7273
Get Directions

HERITAGE BIOLOGICS, LLC is a home infusion therapy pharmacy pharmacy in Lees Summit, MO. 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. HERITAGE BIOLOGICS, LLC NPI is 1679943229. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Heritage Biologics, Inc..

The provider's business location address is:

255 NW VICTORIA DR STE B
LEES SUMMIT, MO
ZIP 64086-709
Phone: (855) 937-7273
Fax: (844) 402-3945

The provider's authorized official is Meredith Wallpe .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (816) 875-5204.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 2/5/2024.


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
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4333600000XPharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336H0001XPharmacyHome Infusion Therapy PharmacyYes

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
11673661MEDICAIDALASKA
21679943229MEDICAIDMONTANA
31679943229MEDICAIDMICHIGAN
41679943229MEDICAIDUTAH
57M3667MEDICAIDSOUTH CAROLINA
61679943229MEDICAIDVIRGINIA
72205595MEDICAIDLOUISIANA
8103324159MEDICAIDPENNSYLVANIA
9167943229MEDICAIDTENNESSEE
101679943229MEDICAIDMISSOURI
111030474MEDICAIDVERMONT
121679943229MEDICAIDIDAHO
131679943229MEDICAIDARIZONA
14600026061MEDICAIDMISSOURI
150229129MEDICAIDOHIO
16200661640AMEDICAIDOKLAHOMA
172081347MEDICAIDWASHINGTON
182154209OTHERPK
190589331MEDICAIDNEW JERSEY
20114015MEDICAIDNEW HAMPSHIRE
211679943229MEDICAIDNEW MEXICO
22201124950AMEDICAIDKANSAS
233110366MEDICAIDNEW HAMPSHIRE
245222688MEDICAIDNEW YORK
251679943229MEDICAIDILLINOIS
261679943229MEDICAIDARKANSAS
271679943229MEDICAIDNEBRASKA
287100506060MEDICAIDKENTUCKY
291679943229MEDICAIDINDIANA
301679943229MEDICAIDIOWA
31300325600MEDICAIDMARYLAND

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.