Dang Home Infusion Pharmacy, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

DANG HOME INFUSION PHARMACY, LLC

Doing business as

Vital Care of Peoria

Practice address

1127 W Glen Ave
Peoria, IL 61614-4840

Phone

(309) 916-9100

Fax

(309) 916-9099

NPI assigned

Jul 11, 2024

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nhung Dang

Title

Owner/Pic

Phone

(309) 916-9099

Specialties & licenses 6

Addresses

Other names 1

• Vital Care of Peoria Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tien T Pham, APN, CNP

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1912473273
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1851138374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144840",
            "telephone_number": "309-916-9100",
            "fax_number": "309-916-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144840",
            "telephone_number": "309-916-9100",
            "fax_number": "309-916-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANG HOME INFUSION PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "NHUNG",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "309-916-9099"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Peoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randolph E Daly, RPH
• Venkata D Damarla, MD
• Rhonda V Dameron, O.D.
• Sharon Marie Damron, APN, CNS
• Alexis Noell Dandridge
• Daniel Cao Truong OD, PC
• Daniel E Johnson, D.C., P.C.
• Daniel M Couri LTD
• Deborah Rachel Daniels, APN
• Brittany Danley

• Home Infusion Therapy Pharmacy in Peoria, IL
• Providers in Peoria, 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 May 19, 2025; 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.

Verify at the official NPI Registry.