Organization Active NPI

Intravene, LLC

Doing business as Intravene

  • Home Infusion Agency
  • Lynchburg, VA
National Provider Identifier
1518028604
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
INTRAVENE, LLC
Doing business as
Intravene
Practice address
2215 Landover PL
Lynchburg, VA 24501-2115
Phone
(434) 947-3900
Fax
(434) 544-2332
NPI assigned
Dec 12, 2006
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Mrs. Nancy Davis Moore
Title
Pharmacist
Phone
(434) 947-3900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 0201002819 VA

Addresses

Primary practice location

2215 Landover PL
Lynchburg, VA 24501-2115

Mailing address

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3900

Other identifiers 2

IdentifierTypeStateIssuer
008530955MedicaidVA
009149627MedicaidVA

Other names 1

  • Intravene Doing business as

National Provider Directory

National Provider Directory
Part of
Intravene Ipl

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1415 Rolkin Ct
Ste 201
Charlottesville, VA 22911
Phone (434) 202-8064

4437 Starkey Rd
Ste A
Roanoke, VA 24018
Phone (540) 283-6000

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1518028604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3900",
            "fax_number": "434-544-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3900",
            "fax_number": "434-544-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAVENE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "434-947-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008530955",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009149627",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intravene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.