NPIMap

Organization Active NPI

Diversified Infusioncare Solutions, Inc.

  • Mail Order Pharmacy
  • Starkville, MS
National Provider Identifier
1144248568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
04633/02.1 Issued in MS
Legal business name
DIVERSIFIED INFUSIONCARE SOLUTIONS, INC.
Doing business as
Diversified InfusionCare Solutions Vital Care
Practice address
823 Highway 12 W
Suite E
Starkville, MS 39759-3593
Phone
(662) 320-9696
Fax
(662) 320-9616
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stan Hamilton
Title
President
Phone
(662) 320-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 04633/02.1 MS Primary

Addresses

Primary practice location

823 Highway 12 W
Suite E
Starkville, MS 39759-3593

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other identifiers 2

IdentifierTypeStateIssuer
00440638MedicaidMS
00330522MedicaidMS

Other names 1

  • Diversified InfusionCare Solutions Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversified Infusioncare Solutions Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144248568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 HIGHWAY 12 W",
            "address_2": "SUITE E",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593593",
            "telephone_number": "662-320-9696",
            "fax_number": "662-320-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED INFUSIONCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-320-9696"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MS",
            "license": "04633/02.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440638",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330522",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified InfusionCare Solutions Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.