Organization Active NPI

Kabafusion Me, LLC

  • Home Infusion Therapy Pharmacy
  • Falmouth, ME
National Provider Identifier
1104553809
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
KABAFUSION ME, LLC
Practice address
12 Northbrook Drive
Suite 1
Falmouth, ME 04105-1477
Phone
(877) 373-1523
Fax
(207) 810-2372
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Sohail Masood, PHARM. D.
Title
President
Phone
(800) 435-3020

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12 Northbrook Drive
Suite 1
Falmouth, ME 04105-1477

Mailing address

17777 Center Court Dr N Ste 550
Cerritos, CA 90703-9337
Phone (800) 435-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230516001562 ME DME Supplier - Pharmacy 8527424639 Practice locations: Falmouth, ME
O20240814004814 ME Part B Supplier - Home Infusion Therapy Supplier 8527424639 Practice locations: Falmouth, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kabafusion Me LLC12 Northbrook Drive, Falmouth, ME 04105-1477(877) 373-1523 Infusion Drugs|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Urological Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 10, 2023

National Provider Directory

National Provider Directory

Locations

17777 Center Court Dr N
Ste 550
Cerritos, CA 90703
Phone (562) 860-6015

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1104553809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DR N STE 550",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039337",
            "telephone_number": "800-435-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTHBROOK DRIVE",
            "address_2": "SUITE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051477",
            "telephone_number": "877-373-1523",
            "fax_number": "207-810-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABAFUSION ME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-435-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.