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 San Diego, California. 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 12310 World Trade Dr, Suite 100, San Diego and it's customer support contact number is 858-576-6969. 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 PHY50273 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:
12310 World Trade Dr, Suite 100, San Diego, California, 92128-3793
Phone:
858-576-6969
Fax:
858-974-6606
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:
1790734036
Parent Organization:
Coram Alternate Site Services Inc
NPI Enumeration Date:
05 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
PHY50273
California
Primary
Home Health
0800429
California
Secondary
Home Infusion
0800429
California
Secondary
Infusion Therapy
California
Secondary
Durable Medical Equipment & Medical Supplies
PHY50273
California
Secondary
Parenteral & Enteral Nutrition
PHY50273
California
Secondary
Pharmacy
PHY50273
California
Secondary
Community/Retail Pharmacy
PHY50273
California
Secondary
Compounding Pharmacy
PHY50273
California
Secondary
Mail Order Pharmacy
PHY50273
California
Secondary
Specialty Pharmacy
PHY50273
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
0522311
Other
Ncpdp
PHA409320
Medicaid
California
101225
Other
California
Medical Device Retailer
0800429
Other
California
Home Health Agency
PHY50273
Other
California
Pharmacy Lices
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
O20100930044151
Coram Alternate Site Services, Inc.
DME SUPPLIER - PHARMACY
9638153497
O20110718000549
Coram Alternate Site Services, Inc.
PART B SUPPLIER - OTHER
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
Enteral Nutrients, Equipment And Supplies
Medicare Competitive Bidding Program:
Coram Cvs/specialty Infusion Services participates in medicare competitive bidding program for DME suppliers which means Coram Cvs/specialty Infusion Services has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
CBSA ID:
CBSA Name:
State
23530
San Diego-Carlsbad, CA
California
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 12310 World Trade Dr, Suite 100, San Diego, California or can call on customer care at 858-576-6969.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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