BEACON HEALTH VENTURES INC NPI 1790859403

NPI Information

  • NPI: 1790859403
  • Provider Name: BEACON HEALTH VENTURES INC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Doing Business As: BEACON HC PHARMACY SB
  • Address: 3355 DOUGLAS RD
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 647-8675

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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 1790859403. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Hc Pharmacy Sb.

The provider's business location address is:

3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635-779
Phone: (574) 647-8675
Fax: (574) 647-8764

The provider's authorized official is Trudy K Wait .
The authorized official title is Manager and has the following contact phone number (574) 647-8674.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 11/12/2024.

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
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100263690AOTHERINDIANAWAIVER
2100301140AMEDICAIDINDIANA
3M300042869OTHERINDIANAMEDICARE PART B/IMMUNIZATIONS
4000000097412OTHERINDIANAANTHEM PROVIDER
5000000107793OTHERINDIANAANTHEM

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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