BEACON HEALTH VENTURES INC NPI 1699102046

NPI Information

  • NPI: 1699102046
  • Provider Name: BEACON HEALTH VENTURES, INC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Doing Business As: BEACON HC PHARM SB
  • Address: 3355 DOUGLAS RD
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 647-2273

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NPI Details

BEACON HEALTH VENTURES, INC is a home infusion therapy pharmacy pharmacy in South Bend, IN. 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. BEACON HEALTH VENTURES, INC NPI is 1699102046. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Hc Pharm Sb.

The provider's business location address is:

3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 647-2273

The provider's authorized official is Greg Conrad .
The authorized official title is Vice President and has the following contact phone number (574) 647-8777.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 6/17/2016.

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
13336C0004XPharmacyCompounding PharmacyINDIANANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336H0001XPharmacyHome Infusion Therapy Pharmacy60004143AINDIANAYes

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
1100301140AMEDICAIDINDIANA
2000000097412OTHERANTHEM
30369000001MEDICARE NSC

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: 11/21/2025

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