Active NPI
Kabafusion Ar, LLC
- Home Infusion Therapy Pharmacy
- Fayetteville, AR
National Provider Identifier
1790849560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- KABAFUSION AR, LLC
- Doing business as
- KabaFusion AR
- Practice address
- 3727 N Investment Dr.
Fayetteville, AR 72703-5458 - Phone
- (866) 263-2770
- Fax
- (479) 973-4890
- NPI assigned
- Dec 19, 2006
- 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
- Dr. Sohail Masood, PHARM. D.
- Title
- President
- Phone
- (800) 435-3020
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3727 N Investment Dr.
Fayetteville, AR 72703-5458
Mailing address
17777 Center Court Dr N Ste 550
Cerritos, CA 90703-9337
Phone (800) 435-3020
Other names 1
- KabaFusion AR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200224000526 | AR | DME Supplier - Pharmacy | 5395172886 | Practice locations: Fayetteville, AR |
| O20210308001462 | AR | Part B Supplier - Home Infusion Therapy Supplier | 5395172886 | Practice locations: Fayetteville, AR |
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 |
|---|---|---|
| Kabafusion Ar, LLC | Infusion Drugs|External Infusion Pumps and/or Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2901 E Zion Rd
Ste 11
Fayetteville, AR 72703
Phone (479) 973-4889
3727 N Investment Dr
Fayetteville, AR 72703
Phone (866) 263-2770
2520 Alexander Dr
Ste C
Jonesboro, AR 72401
Phone (870) 972-8839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1790849560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17777 CENTER COURT DR N STE 550",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039337",
"telephone_number": "800-435-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 N INVESTMENT DR.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035458",
"telephone_number": "866-263-2770",
"fax_number": "479-973-4890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KABAFUSION AR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2022-06-02",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "MASOOD",
"authorized_official_first_name": "SOHAIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-435-3020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KabaFusion AR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.