P & R Home IV Service Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

020434900 Issued in OH

Legal business name

P & R HOME IV SERVICE INC

Doing business as

P&R Home IV Service, Inc
P&R MEDICAL CONNECTION

Practice address

16937 Defiance TRL
Van Wert, OH 45891-8619

Phone

(419) 587-3349

Fax

(419) 587-3229

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Phillip Farris, BS

Title

Pres

Phone

(800) 587-7670

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• P&R Home IV Service, Inc Doing business as
• P&R MEDICAL CONNECTION Doing business as

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1124131925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458918619",
            "telephone_number": "419-587-3349",
            "fax_number": "419-587-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458918619",
            "telephone_number": "419-587-3349",
            "fax_number": "419-587-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R HOME IV SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "800-587-7670",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "OH",
            "license": "020434900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P&R Home IV Service, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P&R MEDICAL CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• P & R Home IV Service Inc
• P & R Home IV Service, Inc.
• Paul A Palmeter
• Amber Nichole Peters, LPN
• Nicholas John Pfleghaar, D.O.

• Home Infusion Therapy Pharmacy in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Home Infusion Therapy Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.