MK INFUSION PHARMACY LLC (NPI# 1093179509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093179509 |
| Entity Type | Organization |
| Organization Name | MK INFUSION PHARMACY LLC |
| Other Organization Name | MK INFUSION PHARMACY, LLC. |
| Practice Address |
307 W State St Muscle Shoals AL 35661-2835 |
| Practice Telephone | 2563207611 |
| Practice Fax Number | 2563207607 |
| Mailing Telephone | 2563207611 |
| Mailing Fax Number | 2563207607 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MISSY MONTGOMERY (CLINICAL PHARMACIST / CEO) |
| Authorized Official Telephone | 2563207611 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
14795/7.1 | MS | Suppliers |
| N | 333600000X | Pharmacy | 0000005791 | TN | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
114617 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 187872 | 05 | |
| PK | 2159515 | 01 |
| Other Name | Type Code |
|---|---|
| MK Infusion Pharmacy, LLC. | Doing Business As Name - Organization |
| Street Address |
307 W STATE ST |
| City | MUSCLE SHOALS |
| State | AL |
| Zip Code | 35661-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1205354222 | Life Counseling Center, LLC | Clinic/Center | 100 Alabama Ave., Suite C, Muscle Shoals, AL 35661 | 2017-08-30 |
| 1558884569 | Roger Eugene Jarrell | Pharmacist | 517 W. Avalon Ave, Walmart Pharmacy, Muscle Shoals, AL 35661 | 2017-07-21 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1265813802 | Brittany Johnson Sutton | Physical Therapy Assistant | 200 Alabama Avenue, Muscle Shoals, AL 35661 | 2015-06-09 |
| 1538566013 | Procare Physical Therapy | Physical Therapist | 322 Lonnie Dr., Muscle Shoals, AL 35661 | 2014-11-26 |
| 1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
| 1205260254 | Donnella Tenn | Occupational Therapy Assistant | 200 Alabama Street, Muscle Shoals, AL 35661 | 2013-08-27 |
| 1043553357 | Thaddeus Jason Boughton | Nurse Practitioner | 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 | 2013-04-04 |
| 1629312301 | Sarah Blaylock | Occupational Therapist | 200 Alabama Ave, Muscle Shoals, AL 35661 | 2012-11-19 |
| Find all providers in zip 35661 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| 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. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578841623 | Ihs Acquisition Xxx, Inc. | Pharmacy | 2811 Horace Shepard Dr, Suite 100, Dothan, AL 36303-1038 | 2011-07-22 |
| 1912205758 | Baitshop Investments, Inc. | Pharmacy | 5129 Highway 17, Helena, AL 35080-3514 | 2011-03-02 |
| 1720301054 | Southern Hemophilia Infusion | Pharmacy | 154 Hand Ave, Bay Minette, AL 36507-4825 | 2010-03-01 |
| 1104984111 | Coag Therapeutics South Inc. | Pharmacy | 53 N Jackson St, Mobile, AL 36602-2809 | 2006-12-04 |
| 1750399762 | Advanced Home Care Inc | Pharmacy | 302 Bay St, Gadsden, AL 35901 | 2006-08-04 |
| 1942266499 | Modern Medical Concepts Homecare, Inc | Pharmacy | 110 Mmc Pkwy, Rainbow City, AL 35906-5852 | 2006-04-25 |
| 1750532677 | Midsouth | Pharmacy | 2200 Riverchase Ctr, Bld 700 Ste 700, Birmingham, AL 35244-2866 | 2008-10-09 |
| 1033246178 | Solutions Infusion Therapy | Pharmacy | 2701 4th Ave S, Birmingham, AL 35233-2707 | 2007-02-27 |
| 1518978550 | Vitalstat, Inc. | Pharmacy | 103 Sand Mountain Dr Ne, Albertville, AL 35950-1709 | 2006-08-11 |
| 1093740185 | Ritch's Vital Care of Birmingham, Inc. | Pharmacy | 2714 Cahaba Rd, Birmingham, AL 35223-2304 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | MUSCLE SHOALS |
| Zip Code | 35661 |
Please comment or provide details below to improve the information on MK INFUSION PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.