Coram Alternate Site Services, Inc.
Home Infusion Therapy Pharmacy
1009 Lark St, Suite 2, Johnson City
Tennessee, 37604-8217
423-434-0110 423-434-0095
Coram Alternate Site Services, Inc. is a Home Infusion Therapy Pharmacy in Johnson City, Tennessee. This organization is also known as sub part of Coram Alternate Site Services, Inc.. It is located at 1009 Lark St, Suite 2, Johnson City and it's customer support contact number is 423-434-0110. The authorized person of Coram Alternate Site Services, Inc. is Tricia L Lacavich who is President of the pharmacy and his contact number is 318-407-1785. Active license number of Coram Alternate Site Services, Inc. is 0000001704 for Home Infusion Therapy Pharmacy in Tennessee. Coram Alternate Site Services, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Coram Alternate Site Services, Inc. is 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.
Pharmacy Details:
Coram Alternate Site Services, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Coram Alternate Site Services, Inc. |
| Type: | Home Infusion Therapy Pharmacy |
| Location: | 1009 Lark St, Suite 2, Johnson City,
Tennessee, 37604-8217 |
| Phone: | 423-434-0110 |
| Fax: | 423-434-0095 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tricia L Lacavich |
| Position: | President |
| Contact Number: | 318-407-1785 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518073832 |
| Parent Organization: | Coram Alternate Site Services, Inc. |
| NPI Enumeration Date: | 21 Aug, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coram Alternate Site Services, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion Therapy Pharmacy | 0000001704 | Tennessee | Primary | |
| Home Health | | | Secondary | |
| Home Infusion | | | Secondary | |
| Infusion Therapy | | | Secondary | |
| Parenteral & Enteral Nutrition | 0000001704 | Tennessee | Secondary | |
| Pharmacy | 0000001704 | Tennessee | Secondary | |
| Community/Retail Pharmacy | 0000001704 | Tennessee | Secondary | |
| Mail Order Pharmacy | 0000001704 | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0445486 | Medicaid | North Carolina | |
| 4426892 | Other | | Ncpdp |
| 7701520 | Medicaid | North Carolina | |
| 145206 | Medicaid | Tennessee | |
| 009111158 | Medicaid | Virginia | |
| 0000001704 | Other | Tennessee | Rx License |
| 008506671 | Medicaid | Virginia | |
Medicare Enrollment:
Coram Alternate Site Services, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9638153497 | O20070831000158 | Coram Alternate Site Services, Inc. | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1675 Broadway, Suite 900
Denver, Colorado |
| Zip: | 80202-4675 |
| Phone Number: | 303-672-8631 |
| Fax Number: | 303-298-0047 |
Patients can reach Coram Alternate Site Services, Inc. at
1009 Lark St, Suite 2, Johnson City, Tennessee or can
call on customer care at 423-434-0110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.