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CORAM HEALTHCARE CORPORATION OF MISSISSIPPI NPI 1962436592


NPI Information

NPI: 1962436592
Provider Name: CORAM HEALTHCARE CORPORATION OF MISSISSIPPI

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 25D0317982

Address:
2929 LAYFAIR DR
SUITE 100
FLOWOOD, MS
ZIP 39232
Phone: (601) 353-0097
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CORAM HEALTHCARE CORPORATION OF MISSISSIPPI is a home infusion therapy pharmacy pharmacy in Flowood, MS. 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 HEALTHCARE CORPORATION OF MISSISSIPPI NPI is 1962436592. 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:

2929 LAYFAIR DR
SUITE 100
FLOWOOD, MS
ZIP 39232-507
Phone: (601) 353-0097
Fax: (601) 948-3009

The provider's authorized official is Sandy Campa .
The authorized official title is Sr. Consultant Payer Realtions and has the following contact phone number (909) 799-4174.

The CLIA number assigned to this NPI record is 25D0317982 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 6/26/2020.


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 HealthNo
2251F00000XHome InfusionNo
3261QI0500XClinic/CenterInfusion Therapy03041-02.0MISSISSIPPINo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition03041-02.0MISSISSIPPINo
6333600000XPharmacy03041-02.0MISSISSIPPINo
73336C0003XPharmacyCommunity/Retail Pharmacy03041-02.0MISSISSIPPINo
83336M0002XPharmacyMail Order Pharmacy03041-02.0MISSISSIPPINo
93336H0001XPharmacyHome Infusion Therapy Pharmacy03041-02.0MISSISSIPPIYes

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
1BC4376287OTHERDEA
22517538OTHERNCPDP
303041-02.0OTHERMISSISSIPPIRX 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: 11/14/2023

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