Organization Active NPI

Ivy Home Infusions LLC

  • Home Infusion Therapy Pharmacy
  • Anchorage, AK
National Provider Identifier
1609829100
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHAR426 Issued in AK
Legal business name
IVY HOME INFUSIONS LLC
Practice address
2841 De Barr Rd
Ste 20
Anchorage, AK 99508
Phone
(907) 279-2425
Fax
(907) 279-2426
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Paul Gionet, RPHNPI 1720032741
Title
Owner
Phone
(907) 279-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X PHAR426 AK Primary

Addresses

Primary practice location

2841 De Barr Rd
Ste 20
Anchorage, AK 99508

Mailing address

2841 De Barr Rd
Ste 20
Anchorage, AK 99508
Phone (907) 279-2425

Other identifiers 2

IdentifierTypeStateIssuer
1996879OtherPK
PH7680MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504000819 AK Part B Supplier - Home Infusion Therapy Supplier 4385658475 Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 20
Anchorage, AK 99508
Phone (907) 279-2425

1200 Airport Heights Dr
Ste 195
Anchorage, AK 99508
Phone (907) 264-2044

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1609829100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DE BARR RD",
            "address_2": "STE 20",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-279-2425",
            "fax_number": "907-279-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DE BARR RD",
            "address_2": "STE 20",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-279-2425",
            "fax_number": "907-279-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HOME INFUSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "GIONET",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-279-2425",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AK",
            "license": "PHAR426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996879",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH7680",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.