NPIMap

Organization Active NPI

Tristate Infusion, LLC

Doing business as Vital Care of Memphis

  • Home Infusion Therapy Pharmacy
  • Memphis, TN
National Provider Identifier
1407552714
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
TRISTATE INFUSION, LLC
Doing business as
Vital Care of Memphis
Practice address
1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827
Phone
(901) 322-8380
Fax
(901) 328-5664
NPI assigned
Feb 7, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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
(013) 228-3809

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827

Mailing address

1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827
Phone (901) 322-8380

Other names 1

  • Vital Care of Memphis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626001039 TN DME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Pharmacy 1658768403 Practice locations: Memphis, TN

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Tristate Infusion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1680 Century Center Pkwy
Ste 110
Memphis, TN 38134

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1407552714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CENTURY CENTER PKWY STE 10",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348827",
            "telephone_number": "901-322-8380",
            "fax_number": "901-328-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CENTURY CENTER PKWY STE 10",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348827",
            "telephone_number": "901-322-8380",
            "fax_number": "901-328-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "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": "013-228-3809"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Memphis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of Memphis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.