Advanced Infusion Systems, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY48703 Issued in CA

Legal business name

ADVANCED INFUSION SYSTEMS, LLC

Doing business as

PharMerica

Practice address

1214 N Market Blvd
Suite C
Sacramento, CA 95834-1906

Phone

(916) 928-3830

Fax

(916) 928-1375

NPI assigned

Aug 13, 2006

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

PHARMERICA CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Allison L. Brown

Title

Secretary

Phone

(502) 630-7429

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 2

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

• Pharmacy Corporation of America

  dba Pharmerica Hilo

  • Long Term Care Pharmacy
  • Hilo, HI
  • NPI 1740213313

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #11431

  • Pharmacy
  • Camuy, PR
  • NPI 1043614902

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pharmerica

  • Skilled Nursing Facility
  • Danville, CA
  • NPI 1346642139
  NPPES parent name

Practitioners 6

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.

• Katherine Evelyn Fischer

  • Pharmacist
  • Sacramento, CA
  • NPI 1437746807
  NPD (past)
• Tom Dang Le

  • Pharmacist
  • Sacramento, CA
  • NPI 1508334673
  NPD (past)
• Steven Lipiec

  • Pharmacist
  • Sacramento, CA
  • NPI 1114467057
  NPD (past)
• Diephung Nguyen

  • Geriatric Pharmacist
  • Sacramento, CA
  • NPI 1992384291
  NPD (past)
• David Rehman

  • Pharmacist
  • Sacramento, CA
  • NPI 1023506755
  NPD (past)
• Scott Eric Wallace, PHARMD

  • Pharmacist
  • Placerville, CA
  • NPI 1134414220
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1417969882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191125",
            "telephone_number": "813-318-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N MARKET BLVD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341906",
            "telephone_number": "916-928-3830",
            "fax_number": "916-928-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INFUSION SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA CORPORATION",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY44486",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY48703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417969882",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA444860",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417969882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.