NPIMap

Organization Active NPI

Soleo Health Inc.

  • Home Infusion Therapy Pharmacy
  • Tempe, AZ
National Provider Identifier
1104230176
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
Y005972 Issued in AZ
Legal business name
SOLEO HEALTH INC.
Practice address
415 S 48TH St
Suite 101
Tempe, AZ 85281-2357
Phone
(480) 296-0222
Fax
(480) 264-0495
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Andrew C Walk
Title
Ceo
Phone
(833) 765-3648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Y005972 AZ
Pharmacy 333600000X Y005972 AZ
Community/Retail Pharmacy 3336C0003X Y005972 AZ
Home Infusion Therapy Pharmacy 3336H0001X Y005972 AZ Primary
Specialty Pharmacy 3336S0011X Y005972 AZ

Addresses

Primary practice location

415 S 48TH St
Suite 101
Tempe, AZ 85281-2357

Mailing address

2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (603) 324-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141017000218 AZ Part B Supplier - Pharmacy 2365667904 Practice locations: Tempe, AZ
O20141216000891 AZ DME Supplier - Pharmacy 2365667904 Practice locations: Tempe, AZ
O20201216003032 AZ Part B Supplier - Home Infusion Therapy Supplier 2365667904 Practice locations: Flagstaff, AZ; Tempe, AZ; Gilbert, AZ

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Soleo Helath Inc Soleo RX39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

1000 N Humphreys St
Ste 210
Flagstaff, AZ 86001
Phone (480) 448-3999

415 S 48th St
Ste 101
Tempe, AZ 85281
Phone (480) 296-0222

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1104230176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NETWORK BLVD STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341895",
            "telephone_number": "603-324-2978",
            "fax_number": "603-718-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 48TH ST",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812357",
            "telephone_number": "480-296-0222",
            "fax_number": "480-264-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEO HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-765-3648"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "Y005972",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005972",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005972",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AZ",
            "license": "Y005972",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AZ",
            "license": "Y005972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.