R3 Infusion and Wellness LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

R3 INFUSION AND WELLNESS LLC

Practice address

396 Business Park Dr Ste D
Gluckstadt, MS 39110-9482

Phone

(601) 573-3859

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnathan Berry

Title

Member

Phone

(601) 573-3859

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1649093907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 MIGGINS RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469350",
            "telephone_number": "601-573-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BUSINESS PARK DR STE D",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391109482",
            "telephone_number": "601-573-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 INFUSION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-573-3859"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Kim Nguyen, DMD
• Oluwadamilola Oni, MD
• Pediatric Dentistry of Gluckstadt
• PSP Medical Clinic (Gluckstadt Family Clinic)
• Quad Intermed Company LLC (MEA Medical Clinic Gluckstadt)
• R3 Wellness and Infusion, LLC
• Patrick Martin Ray, D.C.
• Jamie Taylor Reed
• Renew Audiology - Hearing Aid and Tinnitus Center LLC (Renew Audiology)
• Kristen Robbins, DMD

• Infusion Therapy Clinic/Center in Gluckstadt, MS
• Providers in Gluckstadt, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.