Active NPI
IV Services LLC
Doing business as Genefic Infusion Rx
- Home Infusion Therapy Pharmacy
- Metairie, LA
National Provider Identifier
1104109313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PHY003256IR
- 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, 2025
- 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
- Kyle McCollum
- Title
- Cfo
- Phone
- (949) 375-6566
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136372 | Other | PK | |
| 2201123 | Medicaid | LA |
Other names 1
- Genefic Infusion Rx
National Provider Directory
National Provider DirectoryLocations
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.