Infusion PRN LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

0201004420 Issued in VA

Legal business name

INFUSION PRN LLC

Doing business as

Infusion PRN, LLC

Practice address

4953 Cox Rd
Glen Allen, VA 23060-6296

Phone

(804) 888-8630

Fax

(804) 888-8628

NPI assigned

Mar 6, 2012

Last updated

Aug 21, 2012By 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

Tamara Eisele

Title

Evp/Coo

Phone

(804) 747-8900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Infusion PRN, LLC Doing business as

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1558635755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606296",
            "telephone_number": "804-888-8630",
            "fax_number": "804-888-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606296",
            "telephone_number": "804-888-8630",
            "fax_number": "804-888-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION PRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "EISELE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "804-747-8900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VA",
            "license": "0201004420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4844076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infusion PRN, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Home Infusion Therapy Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.