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 Ontario, California. This pharmacy is owned and operated by Coram Healthcare Corporation Of Southern California. This organization is also known as sub part of Coram Healthcare Corporation Of Southern California. It is located at 4355 E Lowell St, Ste C, Ontario and it's customer support contact number is 909-605-0010. 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 PHY 40884 for Home Infusion Therapy Pharmacy in California. 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:
4355 E Lowell St, Ste C, Ontario, California, 91761-2225
Phone:
909-605-0010
Fax:
906-605-5771
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:
1740239623
Parent Organization:
Coram Healthcare Corporation Of Southern California
NPI Enumeration Date:
09 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
PHY 40884
California
Primary
Home Health
2400748
California
Secondary
Home Infusion
2400748
California
Secondary
Infusion Therapy
California
Secondary
Durable Medical Equipment & Medical Supplies
PHY49297
California
Secondary
Parenteral & Enteral Nutrition
PHY 40884
California
Secondary
Pharmacy
PHY 40884
California
Secondary
Community/Retail Pharmacy
PHY 40884
California
Secondary
Mail Order Pharmacy
PHY 40884
California
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
PHY49297
Other
California
Pharmacy License
PHA 408840
Medicaid
California
0553708
Other
Ncpdp
2400748
Other
California
Home Health Agency
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
5890867105
O20100930026953
Coram Healthcare Corporation Of Southern California
DME SUPPLIER - PHARMACY
Products Available:
Coram Cvs/specialty Infusion Services has following products available for sale under medicare.
Products
Enteral Equipment And/or Supplies
Enteral Nutrients
Infusion Pumps & Supplies: External Infusion
Infusion Pumps & Supplies: Implanted Infusion
Infusion Pumps & Supplies: Insulin Infusion
Parenteral Equipment And/or Supplies
Parenteral Nutrients
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:
303-672-8631
Fax Number:
303-298-0047
Patients can reach Coram Cvs/specialty Infusion Services at 4355 E Lowell St, Ste C, Ontario, California or can call on customer care at 909-605-0010.
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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