DIVERSIFIED INFUSIONCARE SOLUTIONS, INC. (NPI# 1861410375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861410375 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED INFUSIONCARE SOLUTIONS, INC. |
| Other Organization Name | DIVERSIFIED INFUSIONCARE SOLUTIONS VITAL CARE |
| Practice Address |
823 Highway 12 W Suite E Starkville MS 39759-3593 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 6623209696 |
| Practice Fax Number | 6623209616 |
| Mailing Telephone | 8004474095 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STAN HAMILTON (PRESIDENT) |
| Authorized Official Telephone | 6623209696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 04633/02.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440638 | 05 | |
| MS | 00330522 | 05 |
| Other Name | Type Code |
|---|---|
| Diversified InfusionCare Solutions Vital Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599336 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-15 |
| 1790703296 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1144248568 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1760400188 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1750309183 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1932127370 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1912925355 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1720006232 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1437177946 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1952329468 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| Street Address |
823 HIGHWAY 12 W SUITE E |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599336 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-15 |
| 1790703296 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1144248568 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1760400188 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1750309183 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1932127370 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1912925355 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1720006232 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1437177946 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| 1952329468 | Diversified Infusioncare Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881787240 | Southern Family Markets LLC | Pharmacy | 118 Highway 12 W, Starkville, MS 39759-3760 | 2006-09-30 |
| 1174568240 | Pharmacy Management Group | Pharmacy | 200 Hospital Rd, Bldg 3 Professional Plaza, Starkville, MS 39759 | 2006-06-20 |
| 1861424806 | Freds Stores of Tennessee Inc | Pharmacy | 605 S Jackson St, Starkville, MS 39759-3353 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1699331868 | Fulton Specialty Pharmacy, LLC | Pharmacy | 1509 S Adams St Ste D, Fulton, MS 38843-6621 | 2019-05-14 |
| 1063971539 | National Pharmacy of Mississippi, LLC | Pharmacy | 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2019-03-14 |
| 1811468952 | Davidson Pharmacy, LLC | Pharmacy | 203a N 2nd St, Booneville, MS 38829-2701 | 2018-12-16 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1306325402 | Family Drug Mart of Poplarville,llc | Pharmacy | 100 Highway 11 N, Poplarville, MS 39470-2217 | 2018-08-09 |
| 1851883789 | Amory Discount Pharmacy, LLC | Pharmacy | 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.