Advantage Infusion Services, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

16174 Issued in TX

Legal business name

ADVANTAGE INFUSION SERVICES, INC.

Practice address

6019 Randolph Blvd
San Antonio, TX 78233-5719

Phone

(210) 599-7276

Fax

(210) 599-8621

NPI assigned

Dec 12, 2006

Last updated

Jun 21, 2013By 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

James D Glynn

Title

President

Phone

(949) 273-6528

Specialties & licenses 1

Addresses

Other identifiers 4

Member of 1

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

• Amerita, Inc.

  • Home Infusion Therapy Pharmacy
  • Prescott, AZ
  • NPI 1598864134

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1598826018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 TRISTAR DRIVE",
            "address_2": "SUITE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632823",
            "telephone_number": "972-815-0461",
            "fax_number": "877-302-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 RANDOLPH BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335719",
            "telephone_number": "210-599-7276",
            "fax_number": "210-599-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE INFUSION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-273-6528"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "16174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946816-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145435-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788788-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946816-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Therapy Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

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