Coram Alternate Site Services Inc

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

CORAM ALTERNATE SITE SERVICES INC

Doing business as

Coram CVS/specialty Infusion Services

Practice address

8370 Wolf Lake Dr Ste 107
Bartlett, TN 38133-7108

Phone

(615) 630-9279

NPI assigned

Aug 21, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CORAM ALTERNATE SITE SERVICES INCAs reported in NPPES

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

Authorized official

Name

Tricia Lacavich

Title

President

Phone

(314) 306-3255

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Coram CVS/specialty Infusion Services Doing business as

Electronic endpoints 1

Part of

Curaflex Infusion SVC

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629184957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809160",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809160",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 WOLF LAKE DR STE 107",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381337108",
            "telephone_number": "615-630-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM ALTERNATE SITE SERVICES INC",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "LACAVICH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-306-3255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4429420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE",
            "identifier": "0000002058",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coram CVS/specialty Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coram CVS/specialty Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Astraea Conaway
• Lacey Grace Conley
• Lacy Johnson Conry, PA
• Kira Cooley, MD
• Jennifer L Cooper, PHARM. D.
• Matthew Philip Cornies, D.C., H.B.SC., B.S.
• Banjul Lesheila Covington, F.N.P.
• Jamie W Covington, APN
• Lisa M Cox, NP
• Lauren Elizabeth Crews

• Home Infusion Agency in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Home Infusion Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.