HERITAGE BIOLOGICS, INC. (NPI# 1679173520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679173520 |
| Entity Type | Organization |
| Organization Name | HERITAGE BIOLOGICS, INC. |
| Practice Address |
13747 Montfort Dr Ste 170 Dallas TX 75240-4454 |
| Mailing Address |
255 Nw Victoria Dr Lees Summit MO 64086-4709 |
| Practice Telephone | 8168755101 |
| Mailing Telephone | 8168755101 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | KATHRYN PEDERSON (COMPLIANCE DIRECTOR) |
| Authorized Official Telephone | 8168758269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| 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 | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 582073 | 05 | |
| TX | STATE PERMIT | 33489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167740 | Heritage Biologics, Inc. | Home Infusion | 18942 Highway 13, Branson West, MO 65737 | 2020-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HERITAGE BIOLOGICS, INC | 28 Liberty Street, New York, New York 10005 |
| Connecticut Business Registrations | Heritage Biologics, Inc | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Vermont Business Registrations | HERITAGE BIOLOGICS, INC | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Washington State Corporations | HERITAGE BIOLOGICS, INC | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Oregon Corporations, Companies and Business Names | HERITAGE BIOLOGICS, INC. | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Alabama Business Registrations | HERITAGE BIOLOGICS, INC. | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Iowa Business Entities | HERITAGE BIOLOGICS, INC. | 255 Nw Victoria Drive, Lee's Summit, MO 64086 |
| Street Address |
13747 MONTFORT DR STE 170 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| 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 |
|---|---|---|---|---|
| 1477173417 | Metroplex Pharmacy Solutions LLC | Pharmacy | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
| 1952801128 | Renew Hydration LLC | Pharmacy | 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 | 2018-02-14 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1184627200 | Bioscrip Pharmacy, Inc. | Pharmacy | 3826 Cedar Springs Rd, Dallas, TX 75219-4136 | 2005-05-23 |
| 1952677924 | Serenity Infusion Suites & Compounding Rx, LLC | Pharmacy | 8625 King George Dr, Suite 300, Dallas, TX 75235-2215 | 2012-03-23 |
| 1104020494 | North Texas Inpatient and Geriatric Associates Pa | Pharmacy | 3650 W Wheatland Rd Ste C, Dallas, TX 75237-4409 | 2007-06-12 |
| 1497878722 | North Texas Infusion and Specialty Pharmacy, L.L.C. | Pharmacy | 3409 Worth Street, Suite 725, Dallas, TX 75246 | 2007-04-10 |
| 1114058534 | Paragon Hemophilia Solutions LLC | Pharmacy | 17111 Preston Rd, Suite 150, Dallas, TX 75248-1229 | 2007-03-08 |
| 1528137957 | Guardian Health Systems Medical Park | Pharmacy | 7920 Elmbrook Drive, Suite 108, Dallas, TX 75247 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319863 | Kare Home Infusion Pharmacy Pllc | Pharmacy | 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 | 2019-10-31 |
| 1497309660 | Pareek Inc | Pharmacy | 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 | 2019-07-26 |
| 1043878762 | Gaspy Infusion Services Inc | Pharmacy | 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 | 2019-05-29 |
| 1790294668 | Profusion, LLC | Pharmacy | 3200 Steck Ave Ste 330, Austin, TX 78757-8034 | 2017-09-23 |
| 1871974485 | Innoveix Pharmaceuticals Inc. | Pharmacy | 3790 Arapaho Rd, Addison, TX 75001-4311 | 2015-06-10 |
| 1881081818 | Home Infusion Services, LLC | Pharmacy | 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 | 2015-04-16 |
| 1508254327 | American Specialty Pharmacy, Inc. | Pharmacy | 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 | 2014-12-31 |
| 1255731261 | Total Rx Care Inc | Pharmacy | 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 | 2014-08-27 |
| 1386914323 | Pareek Inc | Pharmacy | 1109 E 5th St, Tyler, TX 75701-3318 | 2012-01-09 |
| 1316257058 | Affinity Biotech, Inc. | Pharmacy | 11303 Chimney Rock Rd, Ste. 105, Houston, TX 77035-2901 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
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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.