Active NPI
Picc Lines Plus LLC
- Home Infusion Therapy Pharmacy
- Royal Palm Beach, FL
National Provider Identifier
1750580353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PH23271
- Legal business name
- PICC LINES PLUS LLC
- Practice address
- 300 Business Park Way Ste a-1
Royal Palm Beach, FL 33411-1756 - Phone
- (561) 736-5161
- Fax
- (561) 736-7683
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen A Lariviere
- Title
- Chief Compliance Officer
- Phone
- (866) 776-6782
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | PH23271 | FL | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
300 Business Park Way Ste a-1
Royal Palm Beach, FL 33411-1756
Mailing address
300 Business Park Way Ste a-1
Royal Palm Beach, FL 33411-1756
Phone (561) 736-5161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023018500 | Medicaid | FL | |
| 023018501 | Medicaid | FL |
Other names 1
- PromptCare Companies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930006126 | FL | DME Supplier - Pharmacy | 8426249533 | Practice locations: Royal Palm Beach, FL |
| O20230328000821 | FL | Part B Supplier - Pharmacy | 8426249533 | Practice locations: Royal Palm Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Picc Lines Plus LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Picc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infusion Therapy Registered Nurse
- Boca Raton, FL
- NPI 1487453825
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3800 S Congress Ave
Ste 11
Boynton Beach, FL 33426
Phone (561) 736-5134
300 Business Park Way
Ste A1
Royal Palm Beach, FL 33411
Phone (561) 736-5161
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Ft Lauderdale, FL
- NPI 1427591775
-
- Pharmacist
- Palm Beach, FL
- NPI 1821856550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1750580353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BUSINESS PARK WAY STE A-1",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111756",
"telephone_number": "561-736-5161",
"fax_number": "561-736-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BUSINESS PARK WAY STE A-1",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111756",
"telephone_number": "561-736-5161",
"fax_number": "561-736-7683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PICC LINES PLUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "LARIVIERE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "866-776-6782"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "FL",
"license": "PH23271",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023018500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023018501",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PromptCare Companies",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.