CORAM ALTERNATE SITE SERVICES INC (NPI# 1740390202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740390202 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
1905-a Kramer Lane Suite 500 Austin TX 78758-6299 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 5123389600 |
| Practice Fax Number | 5123380713 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-08-20 |
| 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 | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
16602 | TX | Suppliers |
| N | 251F00000X | Home Infusion | 003655 | TX | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
003655 | TX | Ambulatory Health Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
16602 | TX | Suppliers |
| N | 333600000X | Pharmacy | 16602 | TX | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16602 | TX | Suppliers |
| N | 251E00000X | Home Health | 003655 | TX | Agencies |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
16602 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BC4466745 | 01 | |
| NCPDP | 4595279 | 01 | |
| TX | RX LICENSE | 16602 | 01 |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866737 | Coram Alternate Site Services Inc | Pharmacy | 3439 N 12th Ave, Ste A&b, Pensacola, FL 32503-4008 | 2010-12-09 |
| 1295038438 | Coram Alternate Site Services Inc | Home Infusion | 5955 Core Ave Ste 512, North Charleston, SC 29406-6085 | 2010-12-09 |
| 1184723884 | Coram Alternate Site Services Inc | Pharmacy | 10118 Huebner Rd, San Antonio, TX 78240-1319 | 2006-09-21 |
| 1134226178 | Coram Alternate Site Services Inc | Pharmacy | 10611 S Sam Houston Pkwy W, Suite 200, Houston, TX 77071-3111 | 2006-09-20 |
| 1861599896 | Coram Alternate Site Services Inc | Home Health | 3817 Constitution Dr Ste 300, El Paso, TX 79922-1375 | 2006-09-20 |
| 1629184957 | Coram Alternate Site Services Inc | Pharmacy | 1680 Century Center Pkwy, Suite 12, Memphis, TN 38134-8827 | 2006-08-21 |
| 1497767966 | Coram Alternate Site Services Inc | Home Health | 30 Garfield St, Ste B, Asheville, NC 28803-7302 | 2006-08-13 |
| 1346250610 | Coram Alternate Site Services Inc | Home Health | 6565 Davis Industrial Pkwy, Suite Aa, Solon, OH 44139-3559 | 2006-08-09 |
| 1003826694 | Coram Alternate Site Services Inc | Pharmacy | 7358 Sw Durham Rd, Portland, OR 97224-7307 | 2006-08-08 |
| 1912917550 | Coram Alternate Site Services Inc | Home Health | 5924 Nw 2nd St Ste 100, Oklahoma City, OK 73127-6514 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Coram Alternate Site Services Inc. | 1 Cvs Dr, Mc 1160, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
1905-A KRAMER LANE SUITE 500 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-6299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| 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 |
|---|---|---|---|---|
| 1790294668 | Profusion, LLC | Pharmacy | 3200 Steck Ave Ste 330, Austin, TX 78757-8034 | 2017-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173417 | Metroplex Pharmacy Solutions LLC | Pharmacy | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
| 1699319863 | Kare Home Infusion Pharmacy Pllc | Pharmacy | 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 | 2019-10-31 |
| 1497309660 | Pareek Inc | Pharmacy | 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 | 2019-07-26 |
| 1043878762 | Gaspy Infusion Services Inc | Pharmacy | 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 | 2019-05-29 |
| 1952801128 | Renew Hydration LLC | Pharmacy | 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 | 2018-02-14 |
| 1871974485 | Innoveix Pharmaceuticals Inc. | Pharmacy | 3790 Arapaho Rd, Addison, TX 75001-4311 | 2015-06-10 |
| 1881081818 | Home Infusion Services, LLC | Pharmacy | 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 | 2015-04-16 |
| 1508254327 | American Specialty Pharmacy, Inc. | Pharmacy | 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 | 2014-12-31 |
| 1255731261 | Total Rx Care Inc | Pharmacy | 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 | 2014-08-27 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| Find all providers with the same taxonomy | ||||
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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.