Coram Healthcare Corporation Of Greater Dc
Home Infusion
7150 Columbia Gateway Dr, Suite E, Columbia
Maryland, 21046-2972
410-720-6501 410-720-6460
Coram Healthcare Corporation Of Greater Dc is a Home Infusion in Columbia, Maryland. This organization is also known as sub part of Coram Healthcare Corporation Of Greater Dc. It is located at 7150 Columbia Gateway Dr, Suite E, Columbia and it's customer support contact number is 410-720-6501. The authorized person of Coram Healthcare Corporation Of Greater Dc is Tricia Lacavich who is President of the pharmacy and his contact number is 314-306-3255. Active license number of Coram Healthcare Corporation Of Greater Dc is 1094 for Home Infusion in Maryland. Coram Healthcare Corporation Of Greater Dc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Coram Healthcare Corporation Of Greater Dc is definition to come...
Pharmacy Details:
Coram Healthcare Corporation Of Greater Dc 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 Healthcare Corporation Of Greater Dc |
| Type: | Home Infusion |
| Location: | 7150 Columbia Gateway Dr, Suite E, Columbia,
Maryland, 21046-2972 |
| Phone: | 410-720-6501 |
| Fax: | 410-720-6460 |
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: | 1659300861 |
| Parent Organization: | Coram Healthcare Corporation Of Greater Dc |
| NPI Enumeration Date: | 01 Jul, 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 Healthcare Corporation Of Greater Dc are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion | 1094 | Maryland | Primary | |
| Home Health | 1094 | Maryland | Secondary | |
| Infusion Therapy | 1094 | Maryland | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | PWO131 | Maryland | Secondary | |
| Pharmacy | PWO131 | Maryland | Secondary | |
| Community/Retail Pharmacy | PWO131 | Maryland | Secondary | |
| Home Infusion Therapy Pharmacy | PWO131 | Maryland | Secondary | |
| Mail Order Pharmacy | PWO131 | Maryland | 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 |
| 1094 | Other | Maryland | Residential Service Agenc |
| 2120323 | Other | | Ncpdp |
| PWO131 | Other | Maryland | Rx License |
Medicare Enrollment:
Coram Healthcare Corporation Of Greater Dc 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 |
| 1052371267 | O20090731000222 | Coram Healthcare Corporation Of Greater D.c. | PART B SUPPLIER - OTHER |
| 1052371267 | O20100930052499 | Coram Healthcare Corporation Of Greater D.c. | DME SUPPLIER - PHARMACY |
Products Available:
Coram Healthcare Corporation Of Greater Dc 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: | 480-765-5043 |
| Fax Number: | 401-733-0211 |
Patients can reach Coram Healthcare Corporation Of Greater Dc at
7150 Columbia Gateway Dr, Suite E, Columbia, Maryland or can
call on customer care at 410-720-6501.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.