Organization Active NPI

Infusion Technologies Inc

  • Home Infusion Therapy Pharmacy
  • Jacksonville, FL
National Provider Identifier
1003944588
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PH20070 Issued in FL
Legal business name
INFUSION TECHNOLOGIES INC
Doing business as
Infusion Technologies, Inc.
Practice address
3728 Phillips Hwy
Ste. 212
Jacksonville, FL 32207-9300
Phone
(904) 399-3332
Fax
(904) 399-3383
NPI assigned
Feb 28, 2007
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jose Sotomayor
Title
President
Phone
(305) 887-9335

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Home Infusion Therapy Pharmacy 3336H0001X PH20070 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3728 Phillips Hwy
Ste. 212
Jacksonville, FL 32207-9300

Mailing address

820 NE 126TH St
North Miami, FL 33161-4906
Phone (305) 887-9335

Other identifiers 5

IdentifierTypeStateIssuer
1007702OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1012158610001MedicaidPA
54010996MedicaidKY
02684450MedicaidFL
2610795MedicaidOH

Other names 1

  • Infusion Technologies, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1003944588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NE 126TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614906",
            "telephone_number": "305-887-9335",
            "fax_number": "305-883-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "STE. 212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-399-3332",
            "fax_number": "904-399-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "SOTOMAYOR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-887-9335"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH20070",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1007702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012158610001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010996",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02684450",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610795",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infusion Technologies, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.