Organization Active NPI

Spectrum Infusion, Inc

  • Home Infusion Therapy Pharmacy
  • Raleigh, NC
National Provider Identifier
1245206697
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
6231 Issued in NC
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

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Alan W Knight, RPHNPI 1225898927
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3434684OtherNCNCPDP#
0929454MedicaidNC
6231OtherNCNC PHARMACY LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930015747 NC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1759402605 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Infusion Inc2 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.

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.