Twin States Infusion, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

TWIN STATES INFUSION, LLC

Doing business as

North Mississippi Vital Care

Practice address

146 S Thomas St Ste B
Tupelo, MS 38801-5328

Phone

(662) 260-3366

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Logan E DavisNPI 1235393679

Title

Majority Member

Phone

(601) 482-7420

Specialties & licenses 1

Addresses

Other names 1

• North Mississippi Vital Care Doing business as

Member of 1

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

• Druid City Infusion

  dba Druid City Vital Care

  • Home Infusion Therapy Pharmacy
  • Northport, AL
  • NPI 1306277397

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Logan E Davis, PHARMD

  • Pharmacist
  • Meridian, MS
  • NPI 1235393679
  Authorized official Same address or phone

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1417547787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-260-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-260-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATES INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MAJORITY MEMBER",
        "authorized_official_telephone_number": "601-482-7420"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Tutor
• Nathanial Tutor
• Trinity Danyella Tutor, RN
• Samuel Anton Twedt, DO
• Twin States Infusion, LLC (North Mississippi Vital Care)
• Daviont'E Tyes
• Alena Bess Tyre-Littlejohn, MD
• Anne Marie Underwood, M.ED.
• Tanya Underwood, NP
• Trest Alan Underwood, DO

• Home Infusion Therapy Pharmacy in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Home Infusion Therapy Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.