NPIMap

Organization Active NPI

Twelvestone Medical, Inc.

  • Home Infusion Therapy Pharmacy
  • Dulles, VA
National Provider Identifier
1639032865
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
TWELVESTONE MEDICAL, INC.
Practice address
24430 Stone Springs Blvd Ste 515B
Dulles, VA 20166-2267
Phone
(844) 893-0012
Fax
(615) 278-3355
NPI assigned
Dec 4, 2025
Organization subpart
Yes
Parent organization
TWELVESTONE MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
William Shane Reeves, RPH
Title
Ceo
Phone
(615) 278-3146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

24430 Stone Springs Blvd Ste 515B
Dulles, VA 20166-2267

Mailing address

PO Box 12369
Murfreesboro, TN 37129-0048
Phone (615) 278-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415000815 VA Part B Supplier - Pharmacy 9335269810 Practice locations: Sterling, VA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Twelvestone Medical Inc5 organizations share this tax ID, including this one
Part of
Twelvestone Medical Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1639032865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12369",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290048",
            "telephone_number": "615-278-3278",
            "fax_number": "615-278-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD STE 515B",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662267",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVESTONE MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWELVESTONE MEDICAL, INC.",
        "enumeration_date": "2025-12-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-278-3146",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.