CORAM ALTERNATE SITE SERVICES, INC. (NPI# 1295192565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295192565 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
136 S Mckinley St Casper WY 82601-2745 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 3036728631 |
| Mailing Telephone | 8662245134 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | SANDY L CAMPA (SR. CONSULTANT PAYER RELATIONS) |
| Authorized Official Telephone | 9097994174 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | PHARMACY PERMIT | R10157 | 01 |
| WY | DEA | FC5796620 | 01 |
| Other Name | Type Code |
|---|---|
| coram cvs/specialty infusion services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075152 | Coram Alternate Site Services, Inc. | Home Health | 8910 W 192nd St Ste J, Mokena, IL 60448-8111 | 2018-06-01 |
| 1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
| 1528498490 | Coram Alternate Site Services, Inc. | Home Health | 3101 N Sillect Ave, Ste 109, Bakersfield, CA 93308-6348 | 2013-11-13 |
| 1871926030 | Coram Alternate Site Services, Inc. | Clinic/Center | 4317 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9643 | 2013-08-12 |
| 1053663906 | Coram Alternate Site Services, Inc. | Home Infusion | 101 East Silver Springs Blvd, Suite 202, Ocala, FL 34470-6605 | 2012-10-02 |
| 1861760233 | Coram Alternate Site Services, Inc. | Home Infusion | 555 Winderley Pl Ste 300, Maitland, FL 32751-7133 | 2011-12-13 |
| 1932477809 | Coram Alternate Site Services, Inc. | Home Health | 12 Northbrook Dr Ste 1, Falmouth, ME 04105-1318 | 2011-12-07 |
| 1003183401 | Coram Alternate Site Services, Inc. | Home Health | 8201 E 34th Street Cir N Ste 905, Wichita, KS 67226-1364 | 2011-11-30 |
| 1629355482 | Coram Alternate Site Services, Inc. | Home Health | 11711 N College Ave Ste 125, Carmel, IN 46032-5634 | 2011-11-08 |
| 1528345519 | Coram Alternate Site Services, Inc. | Home Health | 5511 E 3rd Ave, Spokane Valley, WA 99212-0726 | 2011-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Vermont Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
| Oklahoma Business Registrations | CORAM ALTERNATE SITE SERVICES, INC. | 1125 17th St 15th Floor, Denver, CO 80202 |
| Washington State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Dr, Woonsocket, RI 02895-6146 |
| New York State Corporations | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, Ri 02895 |
| Colorado Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Indiana Business Entities | CORAM ALTERNATE SITE SERVICES, INC. | 555 17th Street, Suite 1500, Denver, CO 80202 |
| Street Address |
136 S MCKINLEY ST |
| City | CASPER |
| State | WY |
| Zip Code | 82601-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| 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 |
|---|---|---|---|---|
| 1194024224 | Pharmacy Solutions Inc | Pharmacy | 136 South Mckinley Street, Casper, WY 82601 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346332970 | Rock Springs I.v. Inc. | Pharmacy | 400 2nd St, Suite A-1, Rock Springs, WY 82901-6260 | 2006-09-29 |
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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.