Quantum Infusion, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

22417 Issued in TX

Legal business name

QUANTUM INFUSION, INC.

Practice address

1325 FM 1187
Suite #a-113
Mansfield, TX 76063-6132

Phone

(817) 453-2855

Fax

(817) 453-7550

NPI assigned

Aug 11, 2005

Last updated

Aug 22, 2020By 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

Ms. Ayesha Siddiqi

Title

Accounts Coordinator

Phone

(817) 784-2400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326040221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TECH CENTRE PKWY",
            "address_2": "SUITE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144405",
            "telephone_number": "817-784-2400",
            "fax_number": "817-676-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FM 1187",
            "address_2": "SUITE #A-113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636132",
            "telephone_number": "817-453-2855",
            "fax_number": "817-453-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INFUSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "ACCOUNTS COORDINATOR",
        "authorized_official_telephone_number": "817-784-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4538015",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.