CORAM ALTERNATE SITE SERVICES INC. NPI 1831467711

NPI Information

NPI: 1831467711
Provider Name: CORAM ALTERNATE SITE SERVICES, INC.

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 44D2007180

Address:
2401 CHERAHALA BLVD
KNOXVILLE, TN
ZIP 37932
Phone: (615) 630-9279
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CORAM ALTERNATE SITE SERVICES, INC. is a home infusion in Knoxville, TN. CORAM ALTERNATE SITE SERVICES, INC. NPI is 1831467711. 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:

2401 CHERAHALA BLVD
KNOXVILLE, TN
ZIP 37932-567
Phone: (615) 630-9279

The provider's authorized official is Tricia Lacavich .
The authorized official title is President and has the following contact phone number (314) 306-3255.

The CLIA number assigned to this NPI record is 44D2007180 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 3/7/2023.

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	Primary
1	251E00000X	Home Health		No
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
4	333600000X	Pharmacy		No
5	3336C0004X	Pharmacy	Compounding Pharmacy	No
6	3336M0002X	Pharmacy	Mail Order Pharmacy	No
7	251F00000X	Home Infusion		Yes

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
1	4445020	OTHER		NCPDP
2	00003278	OTHER	TENNESSEE	PHARMACY PERMIT

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

NPI Synchronization or Removal

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