Organization Active NPI

Piedmont Infusion Services, Inc

  • Infusion Therapy Clinic/Center
  • Danville, VA
National Provider Identifier
1285879049
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
PIEDMONT INFUSION SERVICES, INC
Practice address
111 Mall Dr
Danville, VA 24540-4069
Phone
(434) 792-6387
Fax
(434) 792-6389
NPI assigned
Dec 9, 2008
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Mr. Jacob Bethel Patterson Jr., RPHNPI 1134111636
Title
Owner
Phone
(434) 792-6387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary
Home Infusion Therapy Pharmacy 3336H0001X 5734 VA

Addresses

Primary practice location

111 Mall Dr
Danville, VA 24540-4069

Mailing address

111 Mall Dr
Danville, VA 24540-4069
Phone (434) 792-6387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210618000136 VA Part B Supplier - Pharmacy 4082812276 Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1285879049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MALL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404069",
            "telephone_number": "434-792-6387",
            "fax_number": "434-792-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MALL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404069",
            "telephone_number": "434-792-6387",
            "fax_number": "434-792-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INFUSION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "BETHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-792-6387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VA",
            "license": "5734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.