CORAM ALTERNATE SITE SERVICES, INC. (NPI# 1639446149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639446149 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES, INC. |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
8013 Flint St Lenexa KS 66214-3335 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 9138506700 |
| Mailing Telephone | 4807655043 |
| Mailing Fax Number | 4017330211 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2020-07-20 |
| 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. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
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 | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1720514 | 01 | |
| DEA | FA1224764 | 01 | |
| KS | PHARMACY PERMIT | 2-10385 | 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 |
| 1295192565 | Coram Alternate Site Services, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Mckinley St, Casper, WY 82601-2745 | 2016-01-18 |
| 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 |
| 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 |
8013 FLINT ST |
| City | LENEXA |
| State | KS |
| Zip Code | 66214-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164451464 | Coram Alternate Site Services, Inc. | Clinic/Center | 8013 Flint St, Lenexa, KS 66214-3335 | 2006-07-01 |
| 1972742559 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 8013 Flint St, Lenexa, KS 66214-3335 | 2009-02-05 |
| 1356410567 | Apria Healthcare Inc | Home Health | 8013 Flint St, Lenexa, KS 66214-3335 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| 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 |
|---|---|---|---|---|
| 1801379003 | Axivarx of Kansas, LLC | Pharmacy | 11425 Strang Line Rd, Lenexa, KS 66215-4047 | 2018-09-13 |
| 1891703914 | Av Drug Acquisition Co | Pharmacy | 11131 W 79th St, Lenexa, KS 66214-1482 | 2006-08-04 |
| 1326047168 | Ihs Acquisition Xxx Inc | Pharmacy | 8028 Reeder Rd, Lenexa, KS 66214-1554 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821024142 | Ascension Via Christi Home Medical Wichita, LLC | Pharmacy | 528 N Saint Francis St, Wichita, KS 67214-3808 | 2006-06-26 |
| 1669889978 | Infectious Disease Consultants, P.a. | Pharmacy | 1100 N Saint Francis St, Suite 150, Wichita, KS 67214-2878 | 2014-07-18 |
| 1568642866 | Ascension Via Christi Home Medical Wichita, LLC | Pharmacy | 528 N Saint Francis St, Wichita, KS 67214-3808 | 2007-11-05 |
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.