Coram Cvs/Specialty Infusion Services

LBN: Coram Alternate Site Services Inc
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 1471 E Business Center Dr Ste 500, Mt Prospect IL 60056-6046. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Coram Alternate Site Services Inc can be contacted via phone (563) 386-3220, or through Weinert, Craig via phone (401) 765-1500.

Contact Information

Primary practice address
1471 E Business Center Dr Ste 500 Mt Prospect IL 60056-6046
Phone: (563) 386-3220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weinert, Craig
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1010093 Illinois
Agencies / Home Infusion 251F00000X 1010093 Illinois
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X N/A Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0054-013063 Illinois
Suppliers / Pharmacy 333600000X 0054-013063 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 0054-013063 Illinois
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 0054-013063 Illinois
Suppliers / Mail Order Pharmacy 3336M0002X 0054-013063 Illinois

Profile Details

NPI number 1578505897
LBN Legal business name Coram Alternate Site Services Inc
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Weinert, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2006
Last updated Mar 14th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578505897 NPPES
Other 1466146 NCPDP
Other 0054-013063 NCPDP
Other 1010093 NCPDP

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