Organization Active NPI

Streamline Totalcare LLC

Doing business as Three Rivers Infusion and Phcy Specialists

  • Home Infusion Therapy Pharmacy
  • Coshocton, OH
National Provider Identifier
1457334153
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
020517450 Issued in OH
Legal business name
STREAMLINE TOTALCARE LLC
Doing business as
Three Rivers Infusion and Phcy Specialists
Practice address
238 Main St
Coshocton, OH 43812-1507
Phone
(740) 622-1175
Fax
(740) 622-0715
NPI assigned
Nov 28, 2005
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Phillip Von Burg
Title
President
Phone
(740) 622-1175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 020517450 OH Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

238 Main St
Coshocton, OH 43812-1507

Mailing address

PO Box 1287
Coshocton, OH 43812-6287
Phone (740) 622-1175

Other identifiers 2

IdentifierTypeStateIssuer
0782676MedicaidOH
3662081OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • THREE RIVERS INFUSION AND PHCY SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmaceutical Alternatives Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1457334153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438126287",
            "telephone_number": "740-622-1175",
            "fax_number": "740-622-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121507",
            "telephone_number": "740-622-1175",
            "fax_number": "740-622-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLINE TOTALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "VON BURG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-622-1175"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "020517450",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0782676",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3662081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE RIVERS INFUSION AND PHCY SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.