CORAM ALTERNATE SITE SERVICES INC (NPI# 1578866737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578866737 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
3439 N 12th Ave Ste A&b Pensacola FL 32503-4008 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 8504694573 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | SANDY L CAMPA (SR CONSULTANT) |
| Authorized Official Telephone | 9097994174 |
| 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 |
PH25401 | FL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH25401 | FL | Suppliers |
| N | 251E00000X | Home Health | 299993870 | FL | Agencies |
| N | 251F00000X | Home Infusion | 299993870 | FL | Agencies |
| N | 333600000X | Pharmacy | PH25401 | FL | Suppliers |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
HCC9164 | FL | Ambulatory Health Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25401 | FL | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PH25401 | FL | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PH25401 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FC2515394 | 01 | |
| FL | HEALTH CARE CLINIC EXEMPTION | HCC9164 | 01 |
| FL | PHARMACY | PH25401 | 01 |
| FL | HOME HEALTH AGENCY | 299993870 | 01 |
| NCPDP | 5705299 | 01 |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134226178 | Coram Alternate Site Services Inc | Pharmacy | 10611 S Sam Houston Pkwy W, Suite 200, Houston, TX 77071-3111 | 2006-09-20 |
| 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 |
3439 N 12TH AVE STE A&B |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1790160406 | Baptist Hosptial Pharmacy | Pharmacy | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2015-07-23 |
| 1508879222 | Landmark Drugs, Inc. | Pharmacy | 2501 W Cervantes St, Pensacola, FL 32505-7152 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770090482 | Eventus Rx Inc | Pharmacy | 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 | 2018-01-03 |
| 1437590791 | New Era Pharmaceuticals LLC | Pharmacy | 3350 Nw 53rd St, 102, Ft Lauderdale, FL 33309-6354 | 2013-07-15 |
| 1831481027 | Smp Pharmacy Solutions, LLC | Pharmacy | 7500 Nw 26th St Ste 101, Miami, FL 33122-1414 | 2011-05-06 |
| 1154623023 | Hospice of Palm Beach County, Inc. | Pharmacy | 300 Northpoint Pkwy Ste 301, West Palm Beach, FL 33407-1979 | 2010-11-29 |
| 1588897375 | Reliance Pharmacy LLC | Pharmacy | 2100 45th St Ste B1, West Palm Beach, FL 33407-2063 | 2009-08-27 |
| 1285866459 | In Home Health, LLC. | Pharmacy | 13650 Metropolis Ave Ste 105, Fort Myers, FL 33912-4375 | 2009-08-20 |
| 1174784334 | Florida Hhi LLC | Pharmacy | 6704 Benjamin Rd, Ste 700, Tampa, FL 33634-4408 | 2008-06-20 |
| 1972784841 | Complete Pharmacy and Medical Solutions LLC | Pharmacy | 5829 Nw 158th St, Miami Lakes, FL 33014-6721 | 2007-11-20 |
| 1881881522 | Infusal Partners | Pharmacy | 9655 Florida Mining Blvd W, Bldg 400, Suites 410-411, Jacksonville, FL 32257-2031 | 2007-09-26 |
| 1053514976 | Infusal Partners | Pharmacy | 5505 Johns Rd, Suite 700, Tampa, FL 33634-4307 | 2007-06-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CORAM ALTERNATE SITE SERVICES 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.