NPIMap

Organization Active NPI

Jabez Home Infusion Company

  • Home Infusion Therapy Pharmacy
  • Greenville, NC
National Provider Identifier
1023209855
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
08132 Issued in NC
Legal business name
JABEZ HOME INFUSION COMPANY
Practice address
2495 Hemby LN
Suite B
Greenville, NC 27834-3771
Phone
(252) 758-9304
Fax
(252) 758-6904
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Mrs. Debra Patten Cowart, CPHT
Title
Office Manager
Phone
(252) 758-9304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 08132 NC
Home Infusion Therapy Pharmacy 3336H0001X 08132 NC Primary

Addresses

Primary practice location

2495 Hemby LN
Suite B
Greenville, NC 27834-3771

Mailing address

2495 Hemby LN
Suite B
Greenville, NC 27834-3771
Phone (252) 758-9304

Other identifiers 6

IdentifierTypeStateIssuer
046JWOtherNCBCBSNC
046JVOtherNCBCBSNC
6800458MedicaidNC
007CMOtherNCBCBSNC
0745929MedicaidNC
7703685MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Jabez Home Infusion Company3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2495 Hemby Ln
Ste B
Greenville, NC 27834
Phone (252) 758-9304

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1023209855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HEMBY LN",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343771",
            "telephone_number": "252-758-9304",
            "fax_number": "252-758-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HEMBY LN",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343771",
            "telephone_number": "252-758-9304",
            "fax_number": "252-758-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ HOME INFUSION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "PATTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-758-9304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "08132",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NC",
            "license": "08132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "046JW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "046JV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800458",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "007CM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745929",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.