Ldi IV Care LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

LDI IV CARE LLC

Practice address

65 South 65TH Street
Suite 1
Belleville, IL 62223-2946

Phone

(618) 398-2720

Fax

(618) 398-3458

NPI assigned

Nov 30, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

LEEHAR DISTRIBUTORS INCAs reported in NPPES

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

Authorized official

Name

Grant S Dino, PHARM D

Title

President

Phone

(314) 652-2121

Specialties & licenses 2

Addresses

Part of

Leehar Distributors Inc

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1790967701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CRAIG ROAD",
            "address_2": "SUITE 200",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631417120",
            "telephone_number": "314-652-2121",
            "fax_number": "314-652-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SOUTH 65TH STREET",
            "address_2": "SUITE 1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622232946",
            "telephone_number": "618-398-2720",
            "fax_number": "618-398-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDI IV CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEEHAR DISTRIBUTORS INC",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "DINO",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-652-2121",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louba Rodenko Laurie, MD
• Benjamin Joshua Laux Sr., D.C.
• Brittany Laux
• Ashley Nicole Lawrence, CRNA
• Jamiah Lawson
• Rachelle M. Leach, MD
• Michael E Leavell, MD
• David P Lebeau, MD
• Julie I. Lechowicz, D.T.
• Breanna D Lee

• Home Infusion Therapy Pharmacy in Belleville, IL
• Providers in Belleville, IL by specialty
• Home Infusion Therapy Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.