NPIMap

Organization Active NPI

Jabez Home Infusion Company, Inc

  • Home Infusion Therapy Pharmacy
  • Wilmington, NC
National Provider Identifier
1457697179
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
09941 Issued in NC
Legal business name
JABEZ HOME INFUSION COMPANY, INC
Doing business as
Jabez Home Infusion Company, Inc.
Practice address
130 N Front St Ste 300
Wilmington, NC 28401-3972
Phone
(910) 343-1013
Fax
(910) 343-1015
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
James Cowart
Title
Ceo
Phone
(252) 758-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 09941 NC Primary

Addresses

Primary practice location

130 N Front St Ste 300
Wilmington, NC 28401-3972

Mailing address

130 N Front St Ste 300
Wilmington, NC 28401-3972
Phone (910) 343-1013

Other identifiers 1

IdentifierTypeStateIssuer
3460831OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Jabez Home Infusion Company, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jabez Home Infusion Company3 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.

Locations

130 N Front St
Ste 300
Wilmington, NC 28401
Phone (910) 343-1013

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1457697179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N FRONT ST STE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013972",
            "telephone_number": "910-343-1013",
            "fax_number": "910-343-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N FRONT ST STE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013972",
            "telephone_number": "910-343-1013",
            "fax_number": "910-343-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ HOME INFUSION COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-758-9304"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NC",
            "license": "09941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3460831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jabez Home Infusion Company, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.