Active NPI
Patient Care Infusion LLC
Doing business as Arizona Home Care
- Ambulatory Care Pharmacist
- Tempe, AZ
National Provider Identifier
1417456633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- Y002667
- Legal business name
- PATIENT CARE INFUSION LLC
- Doing business as
- Arizona Home Care
- Practice address
- 1626 S Edward Dr
Tempe, AZ 85281-6200 - Phone
- (480) 246-3968
- Fax
- (602) 323-5070
- NPI assigned
- Feb 2, 2018
- Last updated
- Feb 2, 2018
- Organization subpart
- Yes
- Parent organization
- PATIENT CARE INFUSION LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Smidt
- Title
- Cio
- Phone
- (480) 246-3968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | Y002667 | AZ | Primary |
Addresses
Primary practice location
1626 S Edward Dr
Tempe, AZ 85281-6200
Mailing address
1626 S Edward Dr
Tempe, AZ 85281-6200
Phone (480) 246-3968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312512-01 | Medicaid | AZ |
Other names 1
- Arizona Home Care
National Provider Directory
National Provider Directory- Tax ID family
- Patient Care Infusion
- Part of
- Patient Care Infusion
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Arizona Home Care
- Home Infusion Therapy Pharmacy
- Tempe, AZ
- NPI 1295707933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1417456633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 S EDWARD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816200",
"telephone_number": "480-246-3968",
"fax_number": "602-323-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 S EDWARD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816200",
"telephone_number": "480-246-3968",
"fax_number": "602-323-5070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CARE INFUSION LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PATIENT CARE INFUSION LLC",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A",
"authorized_official_last_name": "SMIDT",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CIO",
"authorized_official_telephone_number": "480-246-3968"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "AZ",
"license": "Y002667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312512-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arizona Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tempe, AZ
- Shailesh J Patel, D.O.
- Shreena Bankim Patel, PA-C
- Path Health LLC (PATH Health Services)
- Patient Care Infusion (Arizona Home Care)
- Patient Care Infusion LLC (Arizona Home Care)
- Patient Care Infusion LLC (Arizona Home Care)
- Patient First Anesthesia LLC
- Jerome Patridge, DO
- Audrianna Fern Patterson, LPC
- Elizabeth Marie Patterson, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.