CORAM ALTERNATE SITE SERVICES, INC. (NPI# 1184673428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184673428 |
Entity Type | Organization |
Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
Practice Address |
6375 E Tanque Verde Rd Ste 50 Tucson AZ 85715-3852 |
Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
Practice Telephone | 5202902112 |
Practice Fax Number | 5202902123 |
Mailing Telephone | 3036728631 |
Mailing Fax Number | 3032980047 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-08-19 |
Authorized Official Name | SANDY L CAMPA (SR CONSULTANT) |
Authorized Official Telephone | 9097994174 |
Is Organization Subpart | Y |
Parent Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251F00000X | Home Infusion | Agencies | ||
N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
PENDING | AZ | Ambulatory Health Care Facilities |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
004957 | AZ | Suppliers |
N | 333600000X | Pharmacy | 004957 | AZ | Suppliers |
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
004957 | AZ | Suppliers |
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
004957 | AZ | Suppliers |
N | 251E00000X | Home Health | Agencies | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PHARMACY PERMIT | 004957 | 01 |
DEA | FC1065425 | 01 | |
NCPDP | 0355594 | 01 |
Other Name | Type Code |
---|---|
Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770075152 | Coram Alternate Site Services, Inc. | Home Health | 8910 W 192nd St Ste J, Mokena, IL 60448-8111 | 2018-06-01 |
1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
1295192565 | Coram Alternate Site Services, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Mckinley St, Casper, WY 82601-2745 | 2016-01-18 |
1528498490 | Coram Alternate Site Services, Inc. | Home Health | 3101 N Sillect Ave, Ste 109, Bakersfield, CA 93308-6348 | 2013-11-13 |
1871926030 | Coram Alternate Site Services, Inc. | Clinic/Center | 4317 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9643 | 2013-08-12 |
1053663906 | Coram Alternate Site Services, Inc. | Home Infusion | 101 East Silver Springs Blvd, Suite 202, Ocala, FL 34470-6605 | 2012-10-02 |
1861760233 | Coram Alternate Site Services, Inc. | Home Infusion | 555 Winderley Pl Ste 300, Maitland, FL 32751-7133 | 2011-12-13 |
1932477809 | Coram Alternate Site Services, Inc. | Home Health | 12 Northbrook Dr Ste 1, Falmouth, ME 04105-1318 | 2011-12-07 |
1003183401 | Coram Alternate Site Services, Inc. | Home Health | 8201 E 34th Street Cir N Ste 905, Wichita, KS 67226-1364 | 2011-11-30 |
1629355482 | Coram Alternate Site Services, Inc. | Home Health | 11711 N College Ave Ste 125, Carmel, IN 46032-5634 | 2011-11-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
Iowa Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
Vermont Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
Oklahoma Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 1125 17th St 15th Floor, Denver, CO 80202 |
Washington State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Dr, Woonsocket, RI 02895-6146 |
New York State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, Ri 02895 |
Colorado Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
Indiana Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
Street Address |
6375 E TANQUE VERDE RD STE 50 |
City | TUCSON |
State | AZ |
Zip Code | 85715-3852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639176035 | Jesus Ricardo Lopez | Dentist | 6375 E Tanque Verde Rd, Suite 30, Tucson, AZ 85715-3852 | 2005-06-30 |
1528288487 | Richard Stanley Popeski | Psychiatry & Neurology | 6375 E Tanque Verde Rd, #140, Tucson, AZ 85715-3852 | 2007-04-26 |
1508085408 | Alice Steinfeld | Counselor | 6375 E Tanque Verde Rd, Suite 140, Tucson, AZ 85715-3852 | 2007-04-25 |
1841318441 | Jack Lee Alexander | Dentist | 6375 E Tanque Verde Rd, Ste 30, Tucson, AZ 85715-3837 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
Find all providers in zip 85715 |
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 |
---|---|---|---|---|
1386798809 | Tucson Iv Therapy, LLC | Pharmacy | 1997 W Price St, Tucson, AZ 85705-2218 | 2007-01-22 |
1952842239 | Amerita Inc | Pharmacy | 2002 N Forbes Blvd, Suite 104, Tucson, AZ 85745-1418 | 2017-03-20 |
1275921082 | Banner -- University Medical Center Tucson Campus LLC | Pharmacy | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2014-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457872632 | Twelfth One, LLC | Pharmacy | 2227 W Pecos Rd Ste 12, Chandler, AZ 85224-4866 | 2017-06-28 |
1750550216 | Yuma Infusion Therapy, LLC | Pharmacy | 2170 1/2 W 24th St, Yuma, AZ 85364 | 2008-02-28 |
1851577290 | Korman LLC | Pharmacy | 5783 W Erie St, Chandler, AZ 85226-2749 | 2008-01-16 |
1629029251 | Accredo Health Group Inc | Pharmacy | 2040 W Rio Salado Pkwy, Suite 101b, Tempe, AZ 85281-2802 | 2006-05-16 |
1801495247 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2020-10-17 |
1073982120 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd Ste 157, Suite 157, Phoenix, AZ 85032 | 2015-09-18 |
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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.