CITADEL INFUSION SERVICES LLC


Address: 2121 New Market Pkwy Se Ste 126, Marietta, GA 30067-9309
Phone: 7705411910

CITADEL INFUSION SERVICES LLC (NPI# 1487990271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487990271
Entity Type Organization
Organization Name CITADEL INFUSION SERVICES LLC
Other Organization Name CITADEL INFUSION SERVICES
Practice Address 2121 New Market Pkwy Se Ste 126
Marietta
GA 30067-9309
Mailing Address 2121 New Market Pkwy Se
Suite 126
Marietta
GA 30067-9315
Practice Telephone 7705411910
Practice Fax Number 7705411916
Mailing Telephone 7705411910
Mailing Fax Number 7705411916
Enumeration Date 2012-12-24
Last Update Date 2012-12-24
Authorized Official Name SRIDEVI KATRAGADDDA (CEO)
Authorized Official Telephone 4042479389
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336H0001X Pharmacy
Specialization: Home Infusion Therapy Pharmacy
PHRE009889 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1163079 01

Other Provider/Organization Names

Other Name Type Code
CITADEL INFUSION SERVICES Doing Business As Name - Organization

Office Location

Street Address 2121 NEW MARKET PKWY SE STE 126
City MARIETTA
State GA
Zip Code 30067-9309

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NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 3336H0001X
Grouping Suppliers
Classification Pharmacy
Specialization Home Infusion Therapy Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386876597 Appalachian Home Infusion LLC Pharmacy 14 Sammy Mcghee Blvd Ste 103, Jasper, GA 30143-7722 2009-08-20
1275785743 Pharmaceutical Specialties Inc Pharmacy 958 Mcever Rd, Suite B-8, Gainesville, GA 30504-3972 2008-10-16
1780293035 The Hospital Authority of Miller County Pharmacy 213 Delores Street, Colquitt, GA 39837 2020-07-23
1316463417 Hemogen Rx LLC Pharmacy 84 Helen Hwy, Cleveland, GA 30528 2017-08-21
1851721047 Advanced Home Care Inc Pharmacy 5901 Goshen Springs Rd, Ste G, Norcross, GA 30071 2013-11-25
1558510891 Hamilton Medical Center Inc Pharmacy 1200 Memorial Dr, Dalton, GA 30720-2529 2008-09-11
1770762304 Walker Home Medical Pharmacy 1100 Eisenhower Dr, Ste 19, Savannah, GA 31406-3923 2007-10-31
1932326402 Health Tech Innovations Pharmacy 212 Northside Dr, Valdosta, GA 31602-1858 2007-04-19
1497894497 1st America Health Services, Inc. Pharmacy 212 Northside Dr, Valdosta, GA 31602-1858 2007-02-06
1801935259 Walker Home Medical Pharmacy 100 Brampton Ave, Ste 1f, Statesboro, GA 30458-0827 2007-02-05
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Competitor

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City MARIETTA
Zip Code 30067

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Dataset Information

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.

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