Choice Source LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

008085 Issued in TX

Legal business name

CHOICE SOURCE LLC

Doing business as

Choice Source Therapeutic

Practice address

909 E Collins Blvd
Suite 103
Richardson, TX 75081-2253

Phone

(800) 992-3490

Fax

(972) 619-8224

NPI assigned

May 2, 2008

Last updated

May 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David W. Border

Title

Authorized Signatory

Phone

(800) 225-5967

Specialties & licenses 2

Addresses

Other names 1

• Choice Source Therapeutic Doing business as

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1245406917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELM ST FL 5 LOCKBOX 840688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752022910",
            "telephone_number": "800-225-5967",
            "fax_number": "909-799-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E COLLINS BLVD",
            "address_2": "SUITE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812253",
            "telephone_number": "800-992-3490",
            "fax_number": "972-619-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "BORDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "800-225-5967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "008085",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "008085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Source Therapeutic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Richardson, TX
• Providers in Richardson, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.