C R IV Service Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

492 Issued in IA

Legal business name

C R IV SERVICE INC

Practice address

402 10TH Street SE
Suite 700
Cedar Rapids, IA 52403

Phone

(319) 363-1284

Fax

(319) 363-4453

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle M. Jensen

Title

Ceo

Phone

(319) 363-4554

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• CarePro Home Infusion Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

Advance Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• C R IV Service Inc

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1801210711
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Ronald Albers, R.PH.

  • Pharmacist
  • Cedar Rapids, IA
  • NPI 1518936251
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1104919638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 10TH STREET SE",
            "address_2": "SUITE 700",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52403",
            "telephone_number": "319-363-1284",
            "fax_number": "319-363-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 10TH STREET SE",
            "address_2": "SUITE 700",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52403",
            "telephone_number": "319-363-1284",
            "fax_number": "319-363-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R IV SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-363-4554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "492",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054015238",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IA",
            "license": "492",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "054015238",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IA",
            "license": "492",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054015238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081125",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33270400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Jean Butler, ARNP
• Todd M Butler, MD
• Kristy Butterfield
• Buzzwell
• Jill C Byrnes-Lange, DC
• C R IV Service Inc
• C R IV Service Inc
• C R Pharmacy Service Inc
• C R Pharmacy Service Inc
• C R Pharmacy Service Inc

• Home Infusion Therapy Pharmacy in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Home Infusion Therapy Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.