AMERICAN INFUSION MIDATLANTIC INC (NPI# 1295703403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295703403 |
| Entity Type | Organization |
| Organization Name | AMERICAN INFUSION MIDATLANTIC INC |
| Other Organization Name | MIDATLANTIC HOME INFUSION |
| Practice Address |
353 Us Highway 46 # C Fairfield NJ 07004-2437 |
| Practice Telephone | 8004663487 |
| Practice Fax Number | 9738825090 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD CARLBERG (CEO) |
| Authorized Official Telephone | 8004663487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | RS00659000 | NJ | Suppliers |
| X | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3193923 | 01 |
| Other Name | Type Code |
|---|---|
| MIDATLANTIC HOME INFUSION | Doing Business As Name - Organization |
| Street Address |
353 US HIGHWAY 46 # C |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922440460 | Nudak Ventures LLC | Pharmacy | 2000d S Main St, Fairfield, IA 52556-9572 | 2013-07-25 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1932203510 | Lupes Drug Store Inc | Pharmacy | 2035 Black Rock Tpke, Fairfield, CT 06825-3550 | 2006-09-12 |
| 1376645499 | Hometown Pharmacy | Pharmacy | 201 E Commerce St, Fairfield, TX 75840-1509 | 2006-09-01 |
| 1073623625 | Costco Wholesale Corporation | Pharmacy | 5101 Business Center Dr, Fairfield, CA 94534 | 2006-08-30 |
| 1598776155 | Rem Corporation | Pharmacy | 765 Nilles Rd, Suite A, Fairfield, OH 45014-9302 | 2006-08-10 |
| 1093732372 | Wal-mart Stores East Lp | Pharmacy | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-07-16 |
| 1841222718 | Stop and Shop Supermarket Co LLC | Pharmacy | 1160 Kings Highway Cutoff, Fairfield, CT 06824-5271 | 2006-07-07 |
| 1427661404 | Walgreens | Pharmacy | 2590 N Texas St, Fairfield, CA 94533-1606 | 2020-08-28 |
| 1700321288 | Sesser Pharmacy Si LLC | Pharmacy | 1116 W Main St, Fairfield, IL 62837-2324 | 2016-12-20 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on AMERICAN INFUSION MIDATLANTIC 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.