Reliance Specialty Infusion, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

Y005540 Issued in AZ

Legal business name

RELIANCE SPECIALTY INFUSION, LLC

Practice address

5425 E Bell Rd
Suite 104
Scottsdale, AZ 85254-6007

Phone

(602) 734-5799

Fax

(602) 639-4596

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Miss Laura Gravina, CEO

Title

Ceo

Phone

(602) 821-8218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1417208679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31827 N 53RD ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315569",
            "telephone_number": "602-821-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "SUITE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-734-5799",
            "fax_number": "602-639-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE SPECIALTY INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "GRAVINA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-821-8218",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AZ",
            "license": "Y005540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.