CORAM ALTERNATE SITE SERVICES INC (NPI# 1134226178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134226178 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
10611 S Sam Houston Pkwy W Suite 200 Houston TX 77071-3111 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 7136674010 |
| Practice Fax Number | 7136679304 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | WILLIAM BOLGAR (PRESIDENT) |
| Authorized Official Telephone | 8475594700 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
16729 | TX | Suppliers |
| N | 251E00000X | Home Health | 003647 | TX | Agencies |
| N | 251F00000X | Home Infusion | 003647 | TX | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
003647 | TX | Ambulatory Health Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
16729 | TX | Suppliers |
| N | 333600000X | Pharmacy | 16729 | TX | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16729 | TX | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
16729 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BC4464145 | 01 | |
| NCPDP | 4595356 | 01 | |
| TX | RX LICENSE | 16729 | 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 |
| 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 |
| 1912917550 | Coram Alternate Site Services Inc | Home Health | 5924 Nw 2nd St Ste 100, Oklahoma City, OK 73127-6514 | 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 |
10611 S SAM HOUSTON PKWY W SUITE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77071-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350104 | Elora Healthcare Services LLC Inc | Home Health | 12631 Miriam Ln, Houston, TX 77071 | 2020-09-09 |
| 1275198442 | Cleo Majette Merriweather | Specialist | 11902 S. Gessner Road, Suite 25, Houston, TX 77071 | 2019-05-03 |
| 1225511561 | Talat Khan | Licensed Vocational Nurse | 11100 Braesridge Dr, #903, Houston, TX 77071 | 2018-09-12 |
| 1831576883 | Multi-service Healthcare Incorporated | Home Health | 7700 West Airport Blvd, Suite 1202, Houston, TX 77071 | 2015-04-29 |
| 1740689546 | Texanna Hcs Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12006 Merewood, Houston, TX 77071 | 2014-08-18 |
| 1790190908 | Neil Michael Bealka IIi | Dentist | 8805 S Braeswood Blvd B, Houston, TX 77071 | 2014-06-25 |
| 1467871988 | Duy Minh Tran | Internal Medicine | 7603 Rollingbrook Dr, Houston, TX 77071 | 2014-04-11 |
| 1982048260 | Chinedu I Nwankwo | Family Medicine | 12435 N Rachlin Cir, Houston, TX 77071 | 2013-04-17 |
| 1790076503 | Ophelia Marie Williams | Pharmacy Technician | 11100 Braesridge #1829, Houston, TX 77071 | 2011-04-27 |
| 1003136029 | West Belfort Family Practice | Counselor | 8449 W Belfort, 220, Houston, TX 77071 | 2010-06-02 |
| Find all providers in zip 77071 | ||||
| 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 |
|---|---|---|---|---|
| 1316257058 | Affinity Biotech, Inc. | Pharmacy | 11303 Chimney Rock Rd, Ste. 105, Houston, TX 77035-2901 | 2010-10-15 |
| 1336150424 | Park Infusioncare Lp | Pharmacy | 4007 Bellaire Blvd, Ste G, Houston, TX 77025 | 2006-08-11 |
| 1184649188 | Nurses Alliance Healthcare Services, Pllc | Pharmacy | 1718 Hazyknoll Ln, Houston, TX 77067-2806 | 2006-07-12 |
| 1316548415 | Tcg Interests, LLC | Pharmacy | 9349 Kirby Dr, Houston, TX 77054-2516 | 2020-11-04 |
| 1215393376 | Primesource Rx LLC | Pharmacy | 2656 S Loop W Ste 574, Houston, TX 77054-2664 | 2016-01-05 |
| 1710305883 | Unlimited Home Health Center Inc | Pharmacy | 1214 N Post Oak Rd, Suite 150, Houston, TX 77055-7271 | 2014-04-04 |
| 1437403417 | Biocure Infusion Management | Pharmacy | 8700 Commerce Park Dr, Suite 241, Houston, TX 77036-7497 | 2012-10-30 |
| 1508131475 | Everett Community Healthcare LLC | Pharmacy | 5201 Memorial Dr, Suite 1109, Houston, TX 77007-8237 | 2012-03-12 |
| 1225351125 | Guardian Health Systems | Pharmacy | 10130 Louetta Rd, Suite C, Houston, TX 77070-2118 | 2010-03-05 |
| 1487986501 | Pineloch Infusion Center Inc | Pharmacy | 1051 Pineloch Dr, Suite 700, Houston, TX 77062-2742 | 2010-02-01 |
| Find all providers in HOUSTON | ||||
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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.