Organization Active NPI

I.V. Specialists, Inc.

  • Home Infusion Therapy Pharmacy
  • Beaufort, SC
National Provider Identifier
1073650768
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
50005431 Issued in SC
Legal business name
I.V. SPECIALISTS, INC.
Practice address
25B Marshellen Dr
Beaufort, SC 29902-6900
Phone
(843) 524-3777
Fax
(843) 524-3776
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Roxanne Smith, J.D.
Title
Corporate Counsel
Phone
(913) 747-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 50005431 SC Primary

Addresses

Primary practice location

25B Marshellen Dr
Beaufort, SC 29902-6900

Mailing address

15529 College Blvd
Lenexa, KS 66219-1351
Phone (877) 342-9352

Other identifiers 1

IdentifierTypeStateIssuer
DE1808MedicaidSC

National Provider Directory

National Provider Directory

Locations

25B Marshellen Dr
Beaufort, SC 29902
Phone (843) 524-3777

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1073650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "877-342-9352",
            "fax_number": "877-542-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-524-3777",
            "fax_number": "843-524-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.V. SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "913-747-3720",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "SC",
            "license": "50005431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1808",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.