NPIMap

Organization Active NPI

Infusion Services & Specialty Pharmacy

Doing business as Isrx Corp

  • Infusion Therapy Registered Nurse
  • Mansfield, TX
National Provider Identifier
1417536046
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
INFUSION SERVICES & SPECIALTY PHARMACY
Doing business as
Isrx Corp
Practice address
1724 E Broad St Ste 136
Mansfield, TX 76063-9140
Phone
(817) 453-5022
Fax
(817) 453-5027
NPI assigned
Apr 2, 2021
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Marsha Proctor
Title
Cco
Phone
(817) 453-5022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X NU Primary

Addresses

Primary practice location

1724 E Broad St Ste 136
Mansfield, TX 76063-9140

Mailing address

1724 E Broad St Ste 136
Mansfield, TX 76063-9140
Phone (817) 453-5022

Other identifiers 1

IdentifierTypeStateIssuer
321070MedicaidTX

Other names 1

  • ISRX CORP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ISRX@att.net

National Provider Directory

National Provider Directory
Tax ID family
Infusion Services Specialty Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1417536046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 E BROAD ST STE 136",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639140",
            "telephone_number": "817-453-5022",
            "fax_number": "817-453-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 E BROAD ST STE 136",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639140",
            "telephone_number": "817-453-5022",
            "fax_number": "817-453-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION SERVICES & SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "817-453-5022"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321070",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ISRX@att.net",
            "affiliation": "N",
            "address_1": "1724 E Broad St Ste 136",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760639140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ISRX CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.