Twin States Infusion, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

TWIN STATES INFUSION, LLC

Practice address

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

Phone

(662) 260-3366

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Logan E Davis

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

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

  Member Of

  NPD member

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
• Daviont'E Tyes
• Alena Bess Tyre-Littlejohn, MD
• Shelley Ann Umfress, CLPN
• Anne Marie Underwood, M.ED.
• Tanya Underwood, NP

• 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.