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 | 3336M0002X | Pharmacy | Mail Order Pharmacy | | | No |
2 | 3336C0004X | Pharmacy | Compounding Pharmacy | | | No |
3 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
4 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
5 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | | | No |
6 | 251E00000X | Home Health | | | | No |
7 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
8 | 3336H0001X | Pharmacy | Home Infusion Therapy Pharmacy | | | Yes |
9 | 251F00000X | Home Infusion | | | | No |
10 | 333600000X | Pharmacy | | | | No |