Dixie Infusion Pharmacy, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

DIXIE INFUSION PHARMACY, LLC

Doing business as

Dixie Vital Care - AIC

Practice address

311 Landrum PL Ste 600
Clarksville, TN 37043-6319

Phone

(931) 241-5655

Fax

(931) 241-5654

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Navas Sofia Yoonus-Kunju

Title

Owner

Phone

(615) 525-3142

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dixie Vital Care - AIC Doing business as

Tax ID family

Dixie Infusion Pharmacy LLC2 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.

• Dixie Infusion Pharmacy, LLC

  dba Dixie Vital Care of Madison

  • Infusion Therapy Clinic/Center
  • Madison, TN
  • NPI 1245722685
  NPD tax ID

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1255815619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 600",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-241-5655",
            "fax_number": "931-241-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 600",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-241-5655",
            "fax_number": "931-241-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE INFUSION PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "YOONUS-KUNJU",
        "authorized_official_first_name": "NAVAS",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-525-3142"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL MEDICARE - PART B",
            "identifier": "103G700425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Vital Care - AIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Dinser
• Christena Dinsmore-Nassar
• Fausta Ditah, MD
• Molly Ann Divine, BCBA
• Nicole Alexandria Dix, RN
• Dixie Infusion Pharmacy, LLC (Dixie Vital Care)
• Alan Tyler Dixon I, 261155964 FSO
• Oscar Dixon, R.N.
• Kimberly Dobbyn, APN
• Julie Anne Dobiac, ATC, LAT, CSCS

• Infusion Therapy Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Infusion Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.