Organization Active NPI

Ambulatory Infusion Care, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Mt Pleasant, MI
National Provider Identifier
1306846332
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
5301005525 Issued in MI
Legal business name
AMBULATORY INFUSION CARE, INC.
Practice address
920 Industrial Park Dr
Mount Pleasant, MI 48858
Phone
(989) 772-7770
Fax
(989) 772-7490
NPI assigned
Aug 1, 2005
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Gregory Lamar McCarthy, PHARM D
Title
Owner
Phone
(989) 773-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 5301005525 MI Primary

Addresses

Primary practice location

920 Industrial Park Dr
Mount Pleasant, MI 48858

Mailing address

121 E. Broadway #C
Mount Pleasasnt, MI 48858
Phone (989) 773-4879

Other identifiers 3

IdentifierTypeStateIssuer
2640581MedicaidMI
OC70260OtherMIBCBM
OC70260OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930026414 MI DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 4486772779 Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Infusion Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 E Broadway St
#C
Mount Pleasant, MI 48858

121 E Broadway St
Ste C
Mt Pleasant, MI 48858

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1306846332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E. BROADWAY #C",
            "city": "MOUNT PLEASASNT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-4879",
            "fax_number": "989-773-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 INDUSTRIAL PARK DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-7770",
            "fax_number": "989-772-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY INFUSION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-4879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MI",
            "license": "5301005525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2640581",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBM",
            "identifier": "OC70260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OC70260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.