Organization Active NPI

Bond Pharmacy Inc

  • Home Infusion Therapy Pharmacy
  • Dallas, TX
National Provider Identifier
1346742376
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
BOND PHARMACY INC
Practice address
18451 Dallas Pkwy Ste 125
Dallas, TX 75287-5202
Phone
(877) 443-4006
NPI assigned
Mar 6, 2018
Organization subpart
Yes
Parent organization
BOND PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Simon Castellanos
Title
Ceo
Phone
(601) 988-1700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

18451 Dallas Pkwy Ste 125
Dallas, TX 75287-5202

Mailing address

623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077
Phone (769) 300-4313

Other names 1

  • Advanced Infusion Solutions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dallas

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190801000850 TX Part B Supplier - Pharmacy 8426126764 Practice locations: Dallas, TX
O20191125002794 TX DME Supplier - Pharmacy 8426126764 Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Advanced Infusion Solutions18451 Dallas Pkwy, Dallas, TX 75287-5202(877) 443-4006 Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Bond Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Bond Pharmacy Inc

Other organizations with this tax ID 3

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

Locations

132 Fairmont St
Ste B
Clinton, MS 39056
Phone (601) 988-1700

623 Highland Colony Pkwy
Ste 100
Ridgeland, MS 39157
Phone (601) 988-1700

18451 Dallas Pkwy
Dallas, TX 75287
Phone (877) 443-4006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1346742376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576077",
            "telephone_number": "769-300-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 DALLAS PKWY STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875202",
            "telephone_number": "877-443-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND PHARMACY INC",
        "enumeration_date": "2018-03-06",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-988-1700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "endpointDescription": "-",
            "address_1": "18451 Dallas Pkwy Ste 125",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752875202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Infusion Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.