Empire Home Infusion Service Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

EMPIRE HOME INFUSION SERVICE INC

Practice address

10 Blacksmith Dr
Suite 2
Malta, NY 12020-4428

Phone

(518) 899-8103

Fax

(518) 899-2968

NPI assigned

Jun 8, 2006

Organization subpart

No

Name

Mrs. Michelle T Mazzacco

Title

VP/Director

Phone

(518) 270-1310

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Empire Home Infusion Service Inc

  • Durable Medical Equipment & Medical Supplies
  • Green Island, NY
  • NPI 1770551228

  0345296059

  Same PAC ID

Organizations this organization is a member of, according to the National Provider Directory.

• Home Aide Service of Eastern New York, Inc.

  • Home Infusion Agency
  • Troy, NY
  • NPI 1184215881

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Anthony Berkley, RPH.

  • Pharmacist
  • Malta, NY
  • NPI 1548592439
  NPD (past)
• Diana Maria Boschi, RPH.

  • Pharmacist
  • Malta, NY
  • NPI 1114259124
  NPD (past)
• Theresa Lasarso Faul, RPH

  • Pharmacist
  • Malta, NY
  • NPI 1922330711
  NPD (past)
• Maryanne Godlewski, RPH

  • Pharmacist
  • Malta, NY
  • NPI 1811229081
  NPD (past)
• Kelley M Ringler, RPH

  • Pharmacist
  • Malta, NY
  • NPI 1679897375
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Empire Home Infusion Service 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.

• Empire Home Infusion Service Inc

  • Durable Medical Equipment & Medical Supplies
  • Green Island, NY
  • NPI 1770551228
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2019.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1598705386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLACKSMITH DR",
            "address_2": "SUITE 2",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204428",
            "telephone_number": "518-899-8103",
            "fax_number": "518-899-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BLACKSMITH DR",
            "address_2": "SUITE 2",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204428",
            "telephone_number": "518-899-8103",
            "fax_number": "518-899-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE HOME INFUSION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "MAZZACCO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP/DIRECTOR",
        "authorized_official_telephone_number": "518-270-1310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00042512001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "38242",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040401000497",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "B1A15",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC FACILITY",
            "identifier": "000388",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPIC",
            "identifier": "3317028",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10029567",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPHC-DME",
            "identifier": "CWW311",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "Y060817",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY, SR BLUE",
            "identifier": "000478012001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01697465",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "07794179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "991638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Malta, NY
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.