KABAFUSION AR, LLC (NPI# 1477616233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477616233 |
| Entity Type | Organization |
| Organization Name | KABAFUSION AR, LLC |
| Other Organization Name | KABAFUSION AR |
| Practice Address |
2520 Alexander Dr Ste C Jonesboro AR 72401 |
| Mailing Address |
80 Hayden Ave Suite 300 Lexiton MA 02421 |
| Practice Telephone | 8709728839 |
| Practice Fax Number | 8708024687 |
| Mailing Telephone | 8004353020 |
| Mailing Fax Number | 8775249504 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | SOHAIL MASOOD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8004353020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| KabaFusion AR | Doing Business As Name - Organization |
| United Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983862 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 4015 Massard Rd, Fort Smith, AR 72903 | 2011-08-10 |
| 1750445623 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 1527 S Bowman Rd, Suite D, Little Rock, AR 72211-4207 | 2006-12-21 |
| 1790849560 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 2901 E Zion Rd, Ste 11, Fayetteville, AR 72703-5007 | 2006-12-19 |
| Street Address |
2520 ALEXANDER DR STE C |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1558383414 | North Central I V & Respiratory Specialists LLC | Pharmacy | 202 E Washington Ave, Jonesboro, AR 72401-3102 | 2006-07-23 |
| 1609990100 | Home I.v. Specialists, Inc. | Pharmacy | 200 S Main St, Jonesboro, AR 72401-2907 | 2007-03-19 |
| 1407920242 | Home I.v. Specialists, Inc. | Pharmacy | 200 S Main St, Jonesboro, AR 72401-2907 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704062 | Heritage Senior Care LLC | Pharmacy | 607 W Main St Ste B, Jacksonville, AR 72076-4431 | 2015-07-09 |
| 1902298342 | Precision Health Care, Inc | Pharmacy | 113 Parkwood St Ste A, Parkwood Suites Two, Lowell, AR 72745-8811 | 2015-02-23 |
| 1629377742 | Cornerstone Specialty Pharmacy LLC | Pharmacy | 1450 E Zion Rd Ste 1, Fayetteville, AR 72703-4988 | 2011-03-16 |
| 1538591979 | Chi National Home Care | Pharmacy | 10303 Colonel Glenn Rd, Suite 1f, Little Rock, AR 72204-8146 | 2013-08-08 |
| 1477728772 | Advanced Home Iv Services | Pharmacy | 1235 Sturgis Rd Ste 7, Conway, AR 72034-9688 | 2008-04-28 |
| 1568678613 | I Care of Arkansas, Inc. | Pharmacy | 1527 S Bowman Rd, Suite D, Little Rock, AR 72211-4207 | 2007-05-15 |
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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.