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CORAM ALTERNATE SITE SERVICES INC NPI 1720187362


NPI Information

NPI: 1720187362
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

Address:
14935 NE 87TH ST
STE 101
REDMOND, WA
ZIP 98052
Phone: (425) 450-0076
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CORAM ALTERNATE SITE SERVICES INC is a home infusion therapy pharmacy pharmacy in Redmond, WA. 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 1720187362. 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:

14935 NE 87TH ST
STE 101
REDMOND, WA
ZIP 98052-474
Phone: (425) 450-0076
Fax: (425) 450-7003

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 enumeration date for this NPI number is 9/21/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthIS-265WASHINGTONNo
2251F00000XHome InfusionIS-265WASHINGTONNo
3261QI0500XClinic/CenterInfusion TherapyWASHINGTONNo
4332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionCF00005203WASHINGTONNo
5333600000XPharmacyCF00005203WASHINGTONNo
63336C0003XPharmacyCommunity/Retail PharmacyCF00005203WASHINGTONNo
73336H0001XPharmacyHome Infusion Therapy PharmacyCF00005203WASHINGTONYes
83336M0002XPharmacyMail Order PharmacyCF00005203WASHINGTONNo

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
14924418OTHERNCPDP
2-CF00005203OTHERWASHINGTONRX LICENSE

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: 5/5/2024

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