1St America Infusion Services LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

1ST AMERICA INFUSION SERVICES LLC

Doing business as

Advanced InfusionCare

Practice address

18451 Dallas Pkwy Ste 130
Dallas, TX 75287-5202

Phone

(601) 988-1700

NPI assigned

Sep 27, 2018

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simon Castellanos

Title

Ceo

Phone

(601) 988-1700

Specialties & licenses 5

Addresses

Other names 1

• Advanced InfusionCare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• 1St America Infusion Services LLC

  dba Advanced InfusionCare

  • Home Infusion Therapy Pharmacy
  • Valdosta, GA
  • NPI 1093444911

  9537259783

  Same PAC ID
• 1St America Infusion Services LLC

  dba Advanced InfusionCare

  • Home Infusion Therapy Pharmacy
  • Cockeysville, MD
  • NPI 1215657903

  9537259783

  Same PAC ID
• 1St America Infusion Services LLC

  dba Advanced InfusionCare

  • Home Infusion Therapy Pharmacy
  • Panama City, FL
  • NPI 1376151423

  9537259783

  Same PAC ID
• 1St America Infusion Services LLC

  dba Advanced Infusioncare

  • Home Infusion Therapy Pharmacy
  • Birmingham, AL
  • NPI 1396251542

  9537259783

  Same PAC ID
• 1St America Infusion Services LLC

  dba Advanced InfusionCare

  • Home Infusion Therapy Pharmacy
  • Valdosta, GA
  • NPI 1851309595

  9537259783

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katrina Kagler Harper, PHARMD, BCSCP

  • Pharmacist
  • Dallas, TX
  • NPI 1891687430
  NPD (past)
• Marinda Rae Howard

  • Pharmacist
  • Dallas, TX
  • NPI 1912527441
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1013492735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 DALLAS PKWY STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 DALLAS PKWY STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875202",
            "telephone_number": "601-988-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST AMERICA INFUSION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-988-1700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced InfusionCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 100 Percent Chiropractic Dallas Two, LLC
• 100Percant Care Transportation, Inc
• 180 Wellness PLLC
• 1918 Winter Street Operating Co LLC (Tom Thumb Pharmacy #2534)
• 1983 Care
• 1St Choice Day Hab
• 1St Choice Prescriptions LLC (1st Choice Prescriptions)
• 1St Choice Psychiatry PLLC
• 1St Choice Resources Inc
• 1St Class Dentistry and Orthodontics PA

• Home Infusion Therapy Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.