CORAM ALTERNATE SITE SERVICES INC (NPI# 1912917550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912917550 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
5924 Nw 2nd St Ste 100 Oklahoma City OK 73127-6514 |
| Mailing Address |
555 17th St Suite 1500 Denver CO 80202-3950 |
| Practice Telephone | 4054952273 |
| Practice Fax Number | 4057876018 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | MICHAEL DELL (VICE PRESIDENT) |
| Authorized Official Telephone | 3032924973 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 7308 | OK | Agencies |
| N | 251F00000X | Home Infusion | 7308 | OK | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1-6403 | OK | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
1-6403 | OK | Suppliers |
| N | 333600000X | Pharmacy | 1-6403 | OK | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
1-6403 | OK | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
1-6403 | OK | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
1-6403 | OK | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
1-6403 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3720023 | 01 | |
| DEA | BC4445020 | 01 | |
| OK | PHARMACY PERMIT | 1-6403 | 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 |
| 1740390202 | Coram Alternate Site Services Inc | Pharmacy | 1905-a Kramer Lane, Suite 500, Austin, TX 78758-6299 | 2006-08-30 |
| 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 |
| 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 |
5924 NW 2ND ST STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| 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 |
|---|---|---|---|---|
| 1104919877 | Optum Infusion Services 301, Lp | Pharmacy | 7512 N Broadway, Suite 308, Oklahoma City, OK 73116-9055 | 2006-10-02 |
| 1922102151 | Carter Healthcare Pharmacy and Dme of Oklahoma, LLC | Pharmacy | 3105 S Meridian Ave, Oklahoma City, OK 73119-1022 | 2006-09-08 |
| 1003835018 | Integris Baptist Medical Center Inc | Pharmacy | 3500 Nw 56th St, Suite 201, Oklahoma City, OK 73112-4529 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148665 | Advanced Infusion Therapeutics, LLC | Pharmacy | 5401 S Sheridan Rd, Ste 202, Tulsa, OK 74145-7531 | 2006-10-16 |
| 1730102773 | Economy Pharmacy Inc | Pharmacy | 104 N 35th St, Muskogee, OK 74401-2159 | 2006-07-25 |
| 1518912393 | Cf Solutions, Inc. | Pharmacy | 7471 E 46th Pl, Tulsa, OK 74145-6305 | 2006-05-23 |
| 1912148008 | Arcadia Pharmacy Solutions, LLC | Pharmacy | 4125 S Mingo Rd, Tulsa, OK 74146-3633 | 2009-03-18 |
| 1144408600 | Ritter Express Pharmacy Vital Care | Pharmacy | 702 S Mississippi Ave, Atoka, OK 74525-3324 | 2008-02-07 |
| 1790825974 | Infucare Inc | Pharmacy | 211 S 1st St, Suite A, Madill, OK 73446 | 2007-02-07 |
| 1639248610 | Guardian Health Systems Eufaula | Pharmacy | 401 S Main St, Eufaula, OK 74432-3251 | 2006-11-06 |
| 1003835067 | Evans Pharmacy LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1487694816 | Ponca City Homecare Services Inc. | Pharmacy | 1900 N 14th St, Ponca City, OK 74601-2035 | 2006-06-07 |
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
Please comment or provide details below to improve the information on CORAM ALTERNATE SITE SERVICES INC.
| 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.