Medone Healthcare LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

Y004906 Issued in AZ

Legal business name

MEDONE HEALTHCARE LLC

Doing business as

Med One Health Care LLC

Practice address

2615 S Industrial Park Ave
Tempe, AZ 85282-1821

Phone

(480) 835-9100

Fax

(480) 729-6999

NPI assigned

Jan 22, 2009

Last updated

Jul 19, 2018By 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

Diane Pagliuca

Title

VP

Phone

(480) 835-9100

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MED ONE HEALTH CARE LLC Doing business as

Tax ID family

Medone Healthcare LLC3 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.

• Med One Healthcare LLC

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1295798627
  NPD tax ID
• Medone Healthcare LLC

  • Home Health Agency
  • Tempe, AZ
  • NPI 1568547305
  NPD tax ID

Locations

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1467690966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24757",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852854757",
            "telephone_number": "480-835-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S INDUSTRIAL PARK AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821821",
            "telephone_number": "480-835-9100",
            "fax_number": "480-729-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PAGLIUCA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "480-835-9100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AZ",
            "license": "Y004906",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151367",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED ONE HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical510 LLC
• David Michael Medina, M.D.
• Jaylene Rashell Medina, BS, RBT
• Jehu Medina Sr., LMSW
• Medisage, LLC
• Medone Healthcare LLC
• Meds Direct Inc
• Medtrans Express, Inc
• Medwell Medical Group LLC
• Alexis Mee

• Home Infusion Therapy Pharmacy in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Home Infusion Therapy Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.