Active NPI
Tristate Infusion, LLC
Doing business as Vital Care Infusion Services
- Durable Medical Equipment & Medical Supplies
- Bentonville, AR
National Provider Identifier
1306680061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRISTATE INFUSION, LLC
- Doing business as
- Vital Care Infusion Services
- Practice address
- 1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970 - Phone
- (479) 250-9555
- Fax
- (866) 220-3710
- NPI assigned
- Jun 19, 2024
- Last updated
- Jun 19, 2024
- 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
- Patrick Ryan McFerrin
- Title
- Owner
- Phone
- (803) 599-7386
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970
Mailing address
1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970
Phone (479) 250-9555
Other names 1
- Vital Care Infusion Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vital Care Infusion Services | Epoetin|Infusion Drugs|Oral Anticancer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Tristate Infusion LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Vital Care Infusion Services
- Home Infusion Agency
- Bentonville, AR
- NPI 1124789573
-
dba Vital Care of Memphis
- Home Infusion Therapy Pharmacy
- Memphis, TN
- NPI 1407552714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1306680061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 SE 28TH ST STE 10",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123970",
"telephone_number": "479-250-9555",
"fax_number": "866-220-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 SE 28TH ST STE 10",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123970",
"telephone_number": "479-250-9555",
"fax_number": "866-220-3710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTATE INFUSION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "MCFERRIN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-599-7386"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care Infusion Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bentonville, AR
- Tripharma Inc (Live Well Pharmacy)
- Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC (Pediatric Dental Associates)
- Mary Anna Tripp, LCSW
- Tristate Infusion Clinic, LLC
- Tristate Infusion, LLC (Vital Care Infusion Services)
- Christen Lynn Trolinger, MHPP
- Stephanie Trost, MS, CCC-SLP, IBCLC
- True Motion LLC (True Motion Physical Therapy and Performance)
- Brandon Trujillo, DPT
- Trustt Medical PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.