DIXIE INFUSION PHARMACY 2, LLC (NPI# 1962985143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962985143 |
Entity Type | Organization |
Organization Name | DIXIE INFUSION PHARMACY 2, LLC |
Practice Address |
124 N Main St Ste 101 Smiths Grove KY 42171-8323 |
Practice Telephone | 6155253142 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Authorized Official Name | NAVAS YOONUS (OWNER) |
Authorized Official Telephone | 6155253142 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dixie Vital Care 2 AIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064701 | Dixie Infusion Pharmacy 2, LLC | Durable Medical Equipment & Medical Supplies | 124 N Main St Ste 100, Smiths Grove, KY 42171-8323 | 2020-05-08 |
Street Address |
124 N MAIN ST STE 101 |
City | SMITHS GROVE |
State | KY |
Zip Code | 42171-8323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437518800 | Rxhop, LLC | Pharmacy | 111 N. Main St, Smiths Grove, KY 42171 | 2016-02-15 |
1164813838 | Molly Sullivan Bylsma | Nurse Practitioner | 121 College St., Smiths Grove, KY 42171 | 2015-02-16 |
1235403791 | Benson & Benson Family Dentistry | Dentist | 148 Vincent St, Smiths Grove, KY 42171 | 2012-03-01 |
1386965903 | Staci Nicole Greer | Dentist | 148 Vincent St., Smiths Grove, KY 42171 | 2010-06-17 |
1134393325 | Rxshop, LLC | Pharmacy | 111 N Main Street, Smiths Grove, KY 42171 | 2008-04-17 |
1518183821 | Stellar Health Care Associates Inc. | Internal Medicine | 121 College Street, Smiths Grove, KY 42171 | 2007-04-17 |
1609948462 | Charles Deon Benson | Dentist | 148 Vincent Street, P O 370, Smiths Grove, KY 42171 | 2006-11-15 |
1427160134 | Lori Rush | Counselor | 205 Mohawk Rd, Smiths Grove, KY 42171 | 2006-08-31 |
1245271436 | Pravin N Avula | Internal Medicine | 121 College St, Smiths Grove, KY 42171 | 2006-06-09 |
1326092446 | Jeremy L Schafer | Physical Therapist | 111 College Street, Smiths Grove, KY 42171 | 2006-05-22 |
Find all providers in zip 42171 |
Taxonomy Code | 261QI0500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
1265065841 | Precision Health Care, Inc | Clinic/Center | 1048 Ashley St Ste 101, Bowling Green, KY 42103-2449 | 2020-02-21 |
1952809428 | Etown Infusion Pharmacy LLC | Clinic/Center | 9720 Park Plaza Ave Unit 106, Louisville, KY 40241-2289 | 2018-01-30 |
1205312352 | Etown Infusion Pharmacy LLC | Clinic/Center | 914 N Dixie Ave Ste 101, Elizabethtown, KY 42701-2536 | 2018-07-12 |
City | SMITHS GROVE |
Zip Code | 42171 |
Please comment or provide details below to improve the information on DIXIE INFUSION PHARMACY 2, LLC.
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.