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CORAM ALTERNATE SITE SERVICES INC NPI 1912917550


NPI Information

NPI: 1912917550
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

CLIA Number: 37D0926220

Address:
5924 NW 2ND ST STE 100
OKLAHOMA CITY, OK
ZIP 73127
Phone: (405) 495-2273
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CORAM ALTERNATE SITE SERVICES INC is a home infusion therapy pharmacy pharmacy in Oklahoma City, OK. 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 1912917550. 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:

5924 NW 2ND ST STE 100
OKLAHOMA CITY, OK
ZIP 73127-514
Phone: (405) 495-2273
Fax: (405) 787-6018

The provider's authorized official is Michael Dell .
The authorized official title is Vice President and has the following contact phone number (303) 292-4973.

The CLIA number assigned to this NPI record is 37D0926220 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 9/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health7308OKLAHOMANo
2251F00000XHome Infusion7308OKLAHOMANo
3261QI0500XClinic/CenterInfusion TherapyNo
4332B00000XDurable Medical Equipment & Medical Supplies1-6403OKLAHOMANo
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition1-6403OKLAHOMANo
6333600000XPharmacy1-6403OKLAHOMANo
73336C0004XPharmacyCompounding Pharmacy1-6403OKLAHOMANo
83336M0002XPharmacyMail Order Pharmacy1-6403OKLAHOMANo
93336S0011XPharmacySpecialty Pharmacy1-6403OKLAHOMANo
103336H0001XPharmacyHome Infusion Therapy Pharmacy1-6403OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13720023OTHERNCPDP
20976970020MEDICARE NSCOKLAHOMA
31-6403OTHEROKLAHOMAPHARMACY PERMIT
4BC4445020OTHERDEA

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: 11/14/2023

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