Active NPI
Home Infusion of Luzerne County
- Home Infusion Therapy Pharmacy
- Kingston, PA
National Provider Identifier
1043394612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PP481303
- Legal business name
- HOME INFUSION OF LUZERNE COUNTY
- Practice address
- 390 Pierce Street
Kingston, PA 18704 - Phone
- (570) 288-9388
- Fax
- (570) 763-0064
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dana W. Soper, RPH, MBA
- Title
- Ceo
- Phone
- (513) 891-6666
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | PP481303 | PA | |
| Infusion Therapy Clinic/Center | 261QI0500X | PP481303 | PA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP481303 | PA | |
| Pharmacy | 333600000X | PP481303 | PA | |
| Community/Retail Pharmacy | 3336C0003X | PP481303 | PA | |
| Compounding Pharmacy | 3336C0004X | PP481303 | PA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PP481303 | PA | Primary |
| Mail Order Pharmacy | 3336M0002X | PP481303 | PA | |
| Specialty Pharmacy | 3336S0011X | PP481303 | PA |
Addresses
Primary practice location
390 Pierce Street
Kingston, PA 18704
Mailing address
1000 Meade Street
Suite 104
Dunmore, PA 18512
Phone (570) 961-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001472006003 | Medicaid | PA |
Other names 1
- Therapoint
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1043394612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEADE STREET",
"address_2": "SUITE 104",
"city": "DUNMORE",
"state": "PA",
"postal_code": "18512",
"telephone_number": "570-961-5100",
"fax_number": "570-961-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PIERCE STREET",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-288-9388",
"fax_number": "570-763-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME INFUSION OF LUZERNE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "SOPER",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "513-891-6666",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH, MBA"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "PA",
"license": "PP481303",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001472006003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Therapoint",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.