CORAM ALTERNATE SITE SERVICES INC (NPI# 1720187362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187362 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
14935 Ne 87th St Ste 101 Redmond WA 98052-3474 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 4254500076 |
| Practice Fax Number | 4254507003 |
| Mailing Telephone | 3036738631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-08-19 |
| 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 | 251E00000X | Home Health | IS-265 | WA | Agencies |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00005203 | WA | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
CF00005203 | WA | Suppliers |
| N | 251F00000X | Home Infusion | IS-265 | WA | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
WA | Ambulatory Health Care Facilities | |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
CF00005203 | WA | Suppliers |
| N | 333600000X | Pharmacy | CF00005203 | WA | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
CF00005203 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RX LICENSE | -CF00005203 | 01 |
| NCPDP | 4924418 | 01 | |
| DEA | BC4456592 | 01 |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866737 | Coram Alternate Site Services Inc | Pharmacy | 3439 N 12th Ave, Ste A&b, Pensacola, FL 32503-4008 | 2010-12-09 |
| 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 |
| 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 |
14935 NE 87TH ST STE 101 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598874380 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 14935 Ne 87th St, Redmond, WA 98052-3474 | 2006-08-29 |
| 1457716292 | Natalie Kim | Pharmacist | 14935 Ne 87th St, Suite #101, Redmond, WA 98052-2046 | 2015-12-21 |
| 1124197330 | Apria Healthcare, Inc. | Pharmacy | 14935 Ne 87th St, Redmond, WA 98052-3474 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| 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 |
|---|---|---|---|---|
| 1922215094 | Mikes Drugs | Pharmacy | 8506 E. Mill Plain Blvd. Suite B, Vancouver, WA 98664 | 2007-05-17 |
| 1487670980 | Apria Healthcare, Inc. | Pharmacy | 520 E North Foothills Dr Ste 400, Spokane, WA 99207-2158 | 2006-07-15 |
| 1285687749 | Providence Health & Services - Washington | Pharmacy | 3333 S 120th Pl, Suite 10, Tukwila, WA 98168-5134 | 2006-05-18 |
| 1548263403 | Bioscrip Pharmacy, Inc. | Pharmacy | 1001 Broadway, Ste 102, Seattle, WA 98122-4342 | 2005-05-24 |
| 1821619644 | Paragon Hemophilia Solutions LLC | Pharmacy | 300 W 15th St Ste 203, Vancouver, WA 98660-2911 | 2020-05-04 |
| 1912530106 | Kaiser Foundation Health Plan of Washington | Pharmacy | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-02-17 |
| 1538492194 | Infusion Solutions Inc | Pharmacy | 134 Prince Ave Ste B, Bellingham, WA 98226-6703 | 2009-09-15 |
| 1457408510 | Bond Enterprises Inc. | Pharmacy | 4700 Point Fosdick Dr Nw, Ste. 120, Gig Harbor, WA 98335-1706 | 2007-01-04 |
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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.