ADVANCED INFUSION MEDICINE LLC (NPI# 1053382770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053382770 |
| Entity Type | Organization |
| Organization Name | ADVANCED INFUSION MEDICINE LLC |
| Practice Address |
627 N Five Mile Rd Boise ID 83713-8025 |
| Practice Telephone | 2083762246 |
| Practice Fax Number | 2083762249 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | JAMES TANZINI (MEMBER) |
| Authorized Official Telephone | 2083762246 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
1980LS | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 1307695 | 01 |
| Street Address |
627 N FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-8025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
|---|---|---|---|---|
| 1538582390 | Pharmacy Solutions, Inc. | Pharmacy | 10306 W Emerald St, Boise, ID 83704-8952 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203146 | K2red L.L.C. | Pharmacy | 526 Shoup Ave W Ste L, Twin Falls, ID 83301-5050 | 2006-10-03 |
| 1902832314 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2006-06-25 |
| 1376579003 | Franklin County Medical Center | Pharmacy | 44 N 1st E, Preston, ID 83263-1326 | 2006-06-24 |
| 1396732244 | Valley Professional Pharmacy LLC | Pharmacy | 234 E 1st N, Rexburg, ID 83440-1616 | 2005-10-04 |
| 1053548073 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2009-06-17 |
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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.