CORAM ALTERNATE SITE SERVICES, INC.


Address: 6375 E Tanque Verde Rd, Ste 50, Tucson, AZ 85715-3852
Phone: 5202902112

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).

Provider Overview

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.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ PHARMACY PERMIT 004957 01
DEA FC1065425 01
NCPDP 0355594 01

Other Provider/Organization Names

Other Name Type Code
Coram CVS/specialty Infusion Services Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 6375 E TANQUE VERDE RD
STE 50
City TUCSON
State AZ
Zip Code 85715-3852

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336H0001X
Grouping Suppliers
Classification Pharmacy
Specialization Home Infusion Therapy Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City TUCSON
Zip Code 85715

Improve Information

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Dataset Information

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.

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