Park Infusioncare LP

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

21055 Issued in TX

Legal business name

PARK INFUSIONCARE LP

Practice address

4007 Bellaire Blvd
Ste G
Houston, TX 77025

Phone

(713) 668-7275

Fax

(866) 925-5620

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

William Keys

Title

Ceo

Phone

(480) 446-9010

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1336150424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "480-446-9010",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 BELLAIRE BLVD",
            "address_2": "STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "713-668-7275",
            "fax_number": "866-925-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK INFUSIONCARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "21055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155981701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098189",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1246107",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155981703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155981702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320243",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Park Infusioncare, LP.
• Park Place Dental, P. a.
• Park Place HC Pharmacy, LLC
• Park Place HCS
• Park Place Pharmacy

• Home Infusion Therapy Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.