Organization Active NPI

IV Services LLC

Doing business as Genefic Infusion Rx

  • Home Infusion Therapy Pharmacy
  • Metairie, LA
National Provider Identifier
1104109313
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY003256IR Issued in LA
Legal business name
IV SERVICES LLC
Doing business as
Genefic Infusion Rx
Practice address
3044 Ridgelake Dr
Metairie, LA 70002-4925
Phone
(504) 394-9037
Fax
(504) 392-0973
NPI assigned
Sep 23, 2011
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Kyle McCollum
Title
Cfo
Phone
(949) 375-6566

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X PHY003256IR LA Primary
Long Term Care Pharmacy 3336L0003X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

3044 Ridgelake Dr
Metairie, LA 70002-4925

Mailing address

3044 Ridgelake Dr
Metairie, LA 70002-4925
Phone (504) 394-9037

Other identifiers 2

IdentifierTypeStateIssuer
2136372OtherPK
2201123MedicaidLA

Other names 1

  • Genefic Infusion Rx Doing business as

National Provider Directory

National Provider Directory

Locations

3040 Ridgelake Dr
Metairie, LA 70002
Phone (504) 394-9037

3044 Ridgelake Dr
Metairie, LA 70002
Phone (504) 394-9037

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1104109313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024925",
            "telephone_number": "504-394-9037",
            "fax_number": "504-392-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024925",
            "telephone_number": "504-394-9037",
            "fax_number": "504-392-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-375-6566"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "PHY003256IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136372",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201123",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genefic Infusion Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.