HERITAGE BIOLOGICS, INC (NPI# 1679943229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679943229 |
| Entity Type | Organization |
| Organization Name | HERITAGE BIOLOGICS, INC |
| Other Organization Name | HERITAGE BIOLOGICS, INC. |
| Practice Address |
255 Nw Victoria Dr Lees Summit MO 64086-4709 |
| Practice Telephone | 8559377273 |
| Practice Fax Number | 8444023945 |
| Mailing Telephone | 8168755101 |
| Mailing Fax Number | 8444023945 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | KATIE PEDERSON (COMPLIANCE DIRECTOR) |
| Authorized Official Telephone | 8168755269 |
| 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 | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1679943229 | 05 | |
| IL | 1679943229 | 05 | |
| UT | 1679943229 | 05 | |
| KY | 7100506060 | 05 | |
| MI | 1679943229 | 05 | |
| NE | 1679943229 | 05 | |
| IA | 1679943229 | 05 | |
| OH | 0229129 | 05 | |
| TN | 167943229 | 05 | |
| NM | 1679943229 | 05 | |
| VA | 1679943229 | 05 | |
| PK | 2154209 | 01 | |
| VT | 1030474 | 05 | |
| PA | 103324159 | 05 | |
| KS | 201124950A | 05 | |
| WA | 2081347 | 05 | |
| NJ | 0589331 | 05 | |
| LA | 2205595 | 05 | |
| AK | 1673661 | 05 | |
| MT | 1679943229 | 05 | |
| AR | 1679943229 | 05 | |
| OK | 200661640A | 05 | |
| MO | 600026061 | 05 | |
| SC | 7M3667 | 05 | |
| IN | 1679943229 | 05 | |
| MO | 1679943229 | 05 | |
| ID | 1679943229 | 05 | |
| MD | 300325600 | 05 | |
| NH | 3110366 | 05 | |
| NH | 114015 | 05 | |
| NY | 5222688 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Biologics, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814470 | Heritage Biologics, Inc | Durable Medical Equipment & Medical Supplies | 255 Nw Victoria Dr, Lees Summit, MO 64086-4709 | 2020-09-02 |
| 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 |
255 NW VICTORIA DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814470 | Heritage Biologics, Inc | Durable Medical Equipment & Medical Supplies | 255 Nw Victoria Dr, Lees Summit, MO 64086-4709 | 2020-09-02 |
| 1811469927 | Joseph Sauppee | Pharmacist | 255 Nw Victoria Dr, Lees Summit, MO 64086-4709 | 2018-12-31 |
| 1770698433 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 255 Nw Victoria Dr, Lees Summit, MO 64086-4709 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| 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 |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1700853405 | Vna Plus | Pharmacy | 1500 Meadow Lake Pkwy, Kansas City, MO 64114-1622 | 2006-03-02 |
| 1780029439 | Schnuck Markets Inc | Pharmacy | 11550 Page Service Dr, Ste 101 A, Saint Louis, MO 63146-3531 | 2013-05-08 |
| 1588936371 | Bioethics Solutions, Inc. | Pharmacy | 719 S Neosho Blvd, Suite B, Neosho, MO 64850-2051 | 2012-02-08 |
| 1780964650 | Mainline Resources LLC | Pharmacy | 1876 Craigshire Rd, Saint Louis, MO 63146-4006 | 2011-08-24 |
| 1942510680 | Affinity Biotech, Inc. | Pharmacy | 1001 E 101st Ter, Ste. 240, Kansas City, MO 64131-3367 | 2010-10-15 |
| 1013037795 | Memorial Home Services of Central Illinois, Inc | Pharmacy | 1935 Belt Way Dr, Overland, MO 63114-5825 | 2007-03-29 |
| 1619040599 | Capital Region Medical Center Infusion | Pharmacy | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-11-16 |
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on HERITAGE BIOLOGICS, 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.