Southern Tier Home Infusion Inc is not a DME supplier for medicare equipments and products.
Southern Tier Home Infusion Inc is a Community/Retail Pharmacy in Jamestown, New York. It is located at 863 Fairmount Ave, Jamestown and it's customer support contact number is 716-484-1586. The authorized person of Southern Tier Home Infusion Inc is Richard Moon, PHARMD who is President of the pharmacy and his contact number is 167-205-1217. Active license number of Southern Tier Home Infusion Inc is 022433 for Community/Retail Pharmacy in New York. Southern Tier Home Infusion Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Southern Tier Home Infusion 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:
Southern Tier Home Infusion Inc
Type:
Community/Retail Pharmacy
Location:
863 Fairmount Ave, Jamestown, New York, 14701-2521
Phone:
716-484-1586
Fax:
716-708-6248
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:
Richard Moon
Credentials:
PHARMD
Position:
President
Contact Number:
167-205-1217
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:
1295875730
NPI Enumeration Date:
07 Feb, 2007
NPI Last Update On:
13 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Tier Home Infusion Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
022433
New York
Primary
Pharmacy
Secondary
Compounding Pharmacy
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
01423638
Medicaid
New York
2061686
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2535 Johns Pl, Jamestown, New York
Zip:
14701-9210
Phone Number:
716-720-5121
Fax Number:
716-708-6248
Patients can reach Southern Tier Home Infusion Inc at 863 Fairmount Ave, Jamestown, New York or can call on customer care at 716-484-1586.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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