Coram Cvs/specialty Infusion Services is an authorized DME supplier for medicare equipments and products.
Coram Cvs/specialty Infusion Services is a Home Infusion Therapy Pharmacy in Marietta, Georgia. This pharmacy is owned and operated by Coram Alternate Site Services, Inc.. This organization is also known as sub part of Coram Alternate Site Services, Inc.. It is located at 2140 New Market Pkwy, Suite 106, Marietta and it's customer support contact number is 770-952-3021. The authorized person of Coram Cvs/specialty Infusion Services is Tricia Lacavich who is President of the pharmacy and his contact number is 314-306-3255. Active license number of Coram Cvs/specialty Infusion Services is PHRE006180 for Home Infusion Therapy Pharmacy in Georgia. Coram Cvs/specialty Infusion Services accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Coram Cvs/specialty Infusion Services 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 Cvs/specialty Infusion Services 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 Cvs/specialty Infusion Services
Type:
Home Infusion Therapy Pharmacy
Location:
2140 New Market Pkwy, Suite 106, Marietta, Georgia, 30067-8766
Phone:
770-952-3021
Fax:
770-952-6840
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 Lacavich
Position:
President
Contact Number:
314-306-3255
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:
1255387767
Parent Organization:
Coram Alternate Site Services, Inc.
NPI Enumeration Date:
26 May, 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 Cvs/specialty Infusion Services are as mentioned below.
Specialization
License Number
State
Status
Home Infusion Therapy Pharmacy
PHRE006180
Georgia
Primary
Home Health
Secondary
Home Infusion
Secondary
Infusion Therapy
N/A
Georgia
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Parenteral & Enteral Nutrition
PHRE006180
Georgia
Secondary
Pharmacy
PHRE006180
Georgia
Secondary
Community/Retail Pharmacy
PHRE006180
Georgia
Secondary
Mail Order Pharmacy
-PHRE006180
Georgia
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
000676255E
Medicaid
Georgia
00676255A
Medicaid
Georgia
1141819
Other
Ncpdp
000676255B
Medicaid
Georgia
PHRE006180
Other
Georgia
Rx License
Medicare Enrollment:
Coram Cvs/specialty Infusion Services 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
O20090128000500
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:
Po Box 809160, Chicago, Illinois
Zip:
60680-9160
Phone Number:
480-765-5043
Fax Number:
401-733-0211
Patients can reach Coram Cvs/specialty Infusion Services at 2140 New Market Pkwy, Suite 106, Marietta, Georgia or can call on customer care at 770-952-3021.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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