MIIVRX LLC (NPI# 1932272523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932272523 |
| Entity Type | Organization |
| Organization Name | MIIVRX LLC |
| Other Organization Name | MIIVRX |
| Practice Address |
49 E Isabella Rd Midland MI 48640-8356 |
| Mailing Address |
49 E Isabella Rd Suite A Midland MI 48640-8356 |
| Practice Telephone | 9896313636 |
| Practice Fax Number | 9898326091 |
| Mailing Telephone | 9896313636 |
| Mailing Fax Number | 9898326091 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KEVIN ROEDER (CEO) |
| Authorized Official Telephone | 9896313636 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
5301010544 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1710362 | 05 | |
| PK | 2145782 | 01 |
| Other Name | Type Code |
|---|---|
| MiIVRx | Doing Business As Name - Organization |
| Street Address |
49 E ISABELLA RD |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-8356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| 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 |
|---|---|---|---|---|
| 1851542161 | Hbc Infusion Services LLC | Pharmacy | G 4433 Miller Rd, Ste 101, Flint, MI 48507 | 2008-10-06 |
| 1427250448 | Diplomat Pharmacy, Inc | Pharmacy | 4100 S Saginaw St, Flint, MI 48507 | 2007-06-01 |
| 1497875116 | Alert Infusion Services Inc | Pharmacy | 30825 Greenfield Rd, Southfield, MI 48076-1595 | 2007-03-29 |
| 1275612855 | Shasam Drugs PC | Pharmacy | 8501 Main St, Birch Run, MI 48415-7734 | 2006-11-03 |
| 1164526125 | Prescription Giant LLC | Pharmacy | 4121 Clear Spring Ct, Shelby Township, MI 48316-4028 | 2006-09-12 |
| 1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
| 1710933007 | Accredo Health Group Inc | Pharmacy | 39625 Lewis Dr, Ste 800, Novi, MI 48377-2972 | 2006-05-26 |
| 1316924061 | Henry Ford Health System | Pharmacy | 21298 Melrose Ave, Southfield, MI 48075-7901 | 2005-12-23 |
| 1669098398 | Optimed Health Partners Inc | Pharmacy | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-06-18 |
| 1427412394 | Executive Infusion Services LLC | Pharmacy | 17000 Executive Plaza Dr, Suite 201-a, Dearborn, MI 48126-2793 | 2016-04-07 |
| 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.