Active NPI
Spectrum Infusion, Inc
- Home Infusion Therapy Pharmacy
- Raleigh, NC
National Provider Identifier
1245206697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 6231
- Legal business name
- SPECTRUM INFUSION, INC
- Practice address
- 3221 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8063 - Phone
- (919) 781-2241
- Fax
- (919) 781-7060
- NPI assigned
- Feb 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan W Knight, RPH
- Title
- President
- Phone
- (919) 781-2241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 6231 | NC | Primary |
Addresses
Primary practice location
3221 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8063
Mailing address
3221 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8063
Phone (919) 781-2241
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434684 | Other | NC | NCPDP# |
| 0929454 | Medicaid | NC | |
| 6231 | Other | NC | NC PHARMACY LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930015747 | NC | DME Supplier - Pharmacy | 1759402605 | Practice locations: Raleigh, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Spectrum Infusion Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1972827541
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Compounded Sterile Preparations Pharmacist
- Raleigh, NC
- NPI 1225898927
-
- Pharmacist
- Raleigh, NC
- NPI 1194426684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1245206697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 BLUE RIDGE RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128063",
"telephone_number": "919-781-2241",
"fax_number": "919-781-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 BLUE RIDGE RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128063",
"telephone_number": "919-781-2241",
"fax_number": "919-781-7060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM INFUSION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-26",
"last_updated": "2023-03-07",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-781-2241",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NC",
"license": "6231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP#",
"identifier": "3434684",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0929454",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PHARMACY LIC #",
"identifier": "6231",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.