Coram Healthcare Corporation of Greater New York

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK

Doing business as

Coram CVS/specialty Infusion Services

Practice address

300 Corporate Pkwy Ste 200S
Amherst, NY 14226-1207

Phone

(716) 220-3171

NPI assigned

Nov 1, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CORAM HEALTHCARE CORPORATION OF GREATER NEW YORKAs 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

Coram Healthcare Corporation of Greater New York

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679859862",
    "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": "300 CORPORATE PKWY STE 200S",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261207",
            "telephone_number": "716-220-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM HEALTHCARE CORPORATION OF GREATER NEW YORK",
        "enumeration_date": "2011-11-01",
        "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": "5804542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "031096",
            "state": "NY"
        }
    ],
    "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"
        }
    ]
}

• Kelli Cookfair
• Alize S Cooley
• Gabrielle Cooper
• Genetino T Coplin
• Michelle Elyse Copolo-Ziemer, ATC
• Coram Healthcare Corporation of N Y
• Kayla Cordero
• Maria Corio, P.T., D.P.T.
• Marja Cormack-Price
• Heidi A Cornell, NP

• Home Infusion Agency in Amherst, NY
• Providers in Amherst, NY by specialty
• Home Infusion Agency in New York

• 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.