1ST AMERICA INFUSION SERVICES LLC (NPI# 1841686581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841686581 |
| Entity Type | Organization |
| Organization Name | 1ST AMERICA INFUSION SERVICES LLC |
| Other Organization Name | ADVANCED INFUSION SOLUTIONS |
| Practice Address |
132 Fairmont Street, Suite B Clinton MS 39056 |
| Mailing Address |
623 Highland Colony Parkway, Ste. 100 Ridgeland MS 39157 |
| Practice Telephone | 6019881700 |
| Practice Fax Number | 6019881700 |
| Mailing Telephone | 6019881700 |
| Mailing Fax Number | 6019881701 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | SIMON CASTELLANOS (CEO) |
| Authorized Official Telephone | 6019881700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
14064/2.1 | MS | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
14064/2.1 | MS | Suppliers |
| Other Name | Type Code |
|---|---|
| ADVANCED INFUSION SOLUTIONS | Doing Business As Name - Organization |
| Advanced InfusionCare | Doing Business As Name - Organization |
| Bond Pharmacy, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151423 | 1st America Infusion Services LLC | Pharmacy | 639 N Highway 231, Panama City, FL 32405-4704 | 2020-07-15 |
| 1013492735 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 18451 Dallas Pkwy Ste 130, Dallas, TX 75287-5202 | 2018-09-27 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1851309595 | 1st America Infusion Services LLC | Pharmacy | 212 Northside Dr, Suite B, Valdosta, GA 31602-1893 | 2006-08-04 |
| Street Address |
132 FAIRMONT STREET, SUITE B |
| City | CLINTON |
| State | MS |
| Zip Code | 39056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| Find all providers in zip 39056 | ||||
| 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 |
|---|---|---|---|---|
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1447498647 | Bond Pharmacy Inc. | Pharmacy | 623 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157-6077 | 2009-01-26 |
| 1881778330 | Lab Discount Drugs, Inc. | Pharmacy | 923 Wayne St, Waynesboro, MS 39367-2571 | 2006-10-24 |
| 1104938992 | Southern Pharmaceutical Corporation | Pharmacy | 165 Rosecrest Dr, Columbus, MS 39701-5501 | 2006-08-31 |
| 1730583204 | Vital Care, Inc | Pharmacy | 1170 Ne Industrial Park Rd, Meridian, MS 39301-1100 | 2014-10-13 |
| 1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1750309183 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
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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.