Active NPI
Yuma Infusion Therapy, LLC
- Home Infusion Therapy Pharmacy
- Yuma, AZ
National Provider Identifier
1750550216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- Y004865
- Legal business name
- YUMA INFUSION THERAPY, LLC
- Practice address
- 2170 1/2 W 24TH St
Yuma, AZ 85364 - Phone
- (928) 373-0101
- NPI assigned
- Feb 28, 2008
- Organization subpart
- Yes
- Parent organization
- PRESCOTT IV CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Perley Kevin Nestrick, RPH
- Title
- Owner/Ceo
- Phone
- (928) 708-0025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | Y004865 | AZ | Primary |
Addresses
Primary practice location
2170 1/2 W 24TH St
Yuma, AZ 85364
Mailing address
1151 W Iron Springs Rd
Ste G
Prescott, AZ 86305-1614
Phone (928) 708-0025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320658 | Medicaid | AZ |
Other names 1
- Altius Healthcare
National Provider Directory
National Provider Directory- Part of
- Prescott Intravenous Care Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Prescott, AZ
- NPI 1104221423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1750550216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 W IRON SPRINGS RD",
"address_2": "STE G",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051614",
"telephone_number": "928-708-0025",
"fax_number": "928-708-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 1/2 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-373-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUMA INFUSION THERAPY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRESCOTT IV CARE, INC.",
"enumeration_date": "2008-02-28",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "NESTRICK",
"authorized_official_first_name": "PERLEY",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "928-708-0025",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "AZ",
"license": "Y004865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320658",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Altius Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.