Active NPI
Ivy Home Infusions LLC
- Home Infusion Therapy Pharmacy
- Anchorage, AK
National Provider Identifier
1609829100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PHAR426
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Gionet, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996879 | Other | PK | |
| PH7680 | Medicaid | AK |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210504000819 | AK | Part B Supplier - Home Infusion Therapy Supplier | 4385658475 | Practice locations: Anchorage, AK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Anchorage, AK
- NPI 1720032741
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.