Bioscrip Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24447 Issued in TX

Legal business name

BIOSCRIP PHARMACY, INC.

Practice address

2909 Lemmon Ave
Suite a
Dallas, TX 75204-0305

Phone

(214) 740-0900

Fax

(214) 999-9306

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

James Melancon

Title

Vice President

Phone

(917) 449-6939

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BioScrip Pharmacy Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1629024641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 CROSSTOWN CIR",
            "address_2": "SUITE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443374",
            "telephone_number": "800-753-5995",
            "fax_number": "952-352-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LEMMON AVE",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040305",
            "telephone_number": "214-740-0900",
            "fax_number": "214-999-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSCRIP PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-449-6939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24447",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100850770G",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John G Birch, MD

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.