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 2 Barnes Industrial Park Road Suite A, Wallingford CT 06492-2426. 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 (203) 284-8558, or through Weinert, Craig S via phone (401) 765-1500.

Contact Information

Primary practice address
2 Barnes Industrial Park Road Suite A Wallingford CT 06492-2426
Fax: (203) 284-8580
Website:
Authorized official contact:
Name: Weinert, Craig S

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X Massachusetts
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PCY.0001335 Connecticut
Suppliers / Pharmacy 333600000X PCY.0001335 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0001335 Connecticut
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PCY.0001335 Connecticut
Suppliers / Mail Order Pharmacy 3336M0002X DS 2584-1 Massachusetts

Profile Details

NPI number 1740230135
LBN Legal business name Coram Alternate Site Services Inc
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Weinert, Craig S
Entity Organization
Organization subpart 1 Yes
Enumeration date May 10th, 2006
Last updated Mar 12th, 2024 - about 9 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 1740230135 NPPES
Connecticut MEDICAID 004138972
Connecticut Other 0716425
Connecticut Other PCY.0001335
Connecticut MEDICAID 004143145

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