P & R HOME IV SERVICE INC (NPI# 1124131925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124131925 |
| Entity Type | Organization |
| Organization Name | P & R HOME IV SERVICE INC |
| Other Organization Name | P&R HOME IV SERVICE, INC |
| Practice Address |
16937 Defiance Trl Van Wert OH 45891-8619 |
| Practice Telephone | 4195873349 |
| Practice Fax Number | 4195873229 |
| Mailing Telephone | 4195873349 |
| Mailing Fax Number | 4195873229 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | PHILLIP FARRIS (PRES) |
| Authorized Official Telephone | 8005877670 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
020434900 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2072767 | 01 | |
| OH | 0631301 | 05 |
| Other Name | Type Code |
|---|---|
| P&R Home IV Service, Inc | Doing Business As Name - Organization |
| P&R MEDICAL CONNECTION | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578700399 | P & R Home Iv Service Inc | Pharmacy | 16937 Defiance Trail, Van Wert, OH 45891 | 2009-01-15 |
| Street Address |
16937 DEFIANCE TRL |
| City | VAN WERT |
| State | OH |
| Zip Code | 45891-8619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638172 | Katlynn A Dotson | Social Worker | 160 Fox Road, Van Wert, OH 45891 | 2020-01-14 |
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1871800698 | Ronetta E Marhoover | Nurse Practitioner | 1052 S Washington Street, Van Wert, OH 45891 | 2010-09-01 |
| 1780918243 | Sherry Ann Eibling | Nurse's Aide | 3683 St Rt 127n, Van Wert, OH 45891 | 2009-09-30 |
| 1053552596 | Betty Jean Miller | Massage Therapist | 7079 Us. Rt. 127 N., Van Wert, OH 45891 | 2009-03-12 |
| 1578700399 | P & R Home Iv Service Inc | Pharmacy | 16937 Defiance Trail, Van Wert, OH 45891 | 2009-01-15 |
| 1619167236 | Scott David Shie | Urology | Van Wert Health Urology, 140 Fox Rd. Ste 105, Van Wert, OH 45891 | 2007-07-30 |
| 1386866283 | John Carl Cook Jr. | Dentist | 723 W Main St, Van Wert, OH 45891 | 2007-05-02 |
| 1396866620 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1180 Professional Drive, Van Wert, OH 45891 | 2007-04-03 |
| 1659400224 | Hearth & Home Assisted Living | Assisted Living Facility | 1118 Westwood Drive, Van Wert, OH 45891 | 2007-03-02 |
| Find all providers in zip 45891 | ||||
| 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] |
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|---|---|---|---|---|
| 1841581246 | Clinical Specialties Inc | Pharmacy | 6361 Nicholas Dr, Columbus, OH 43235-5204 | 2011-04-20 |
| 1013226612 | Gold Medical | Pharmacy | 1799 W 5th Ave, Suite 252, Columbus, OH 43212-2322 | 2010-09-29 |
| 1164741377 | Legacy Infusion Services, LLC | Pharmacy | 9969 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2010-05-27 |
| 1871652289 | In Home Health, LLC | Pharmacy | 333 N. Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| 1841389533 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 29313 Clemens Rd, Ste 2 L, Westlake, OH 44145-1052 | 2006-10-12 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1699878165 | Homereach | Pharmacy | 404 East Wilson Bridge Road, Suite H, Worthington, OH 43085-2369 | 2006-09-07 |
| 1134137946 | Csi Managed Care Inc. | Pharmacy | 6955 Treeline Dr, Brecksville, OH 44141-3393 | 2006-08-04 |
| 1619943115 | Braden Med Services Inc | Pharmacy | 44519 Marietta Rd, Caldwell, OH 43724-9209 | 2006-02-24 |
| 1508850926 | Amerimed, Inc. | Pharmacy | 9961 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2005-08-31 |
| 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.