NPIMap

Organization Active NPI

Soleo Health Inc.

  • Home Infusion Therapy Pharmacy
  • Canton, MA
National Provider Identifier
1861887523
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
DS89958 Issued in MA
Legal business name
SOLEO HEALTH INC.
Practice address
5 Shawmut Rd Ste 103
Canton, MA 02021-1408
Phone
(781) 298-3427
Fax
(339) 368-7716
NPI assigned
Mar 31, 2015
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Andrew C Walk
Title
Ceo
Phone
(833) 765-3648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DS89958 MA
Pharmacy 333600000X DS89958 MA
Community/Retail Pharmacy 3336C0003X DS89958 MA
Home Infusion Therapy Pharmacy 3336H0001X DS89958 MA Primary
Specialty Pharmacy 3336S0011X DS89958 MA

Addresses

Primary practice location

5 Shawmut Rd Ste 103
Canton, MA 02021-1408

Mailing address

2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (603) 324-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150428000063 MA Part B Supplier - Pharmacy 2365667904 Practice locations: Canton, MA
O20150827000431 MA DME Supplier - Pharmacy 2365667904 Practice locations: Canton, MA
O20210121000742 MA Part B Supplier - Home Infusion Therapy Supplier 2365667904 Practice locations: Canton, MA

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Soleo Helath Inc Soleo RX40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1861887523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NETWORK BLVD STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341895",
            "telephone_number": "603-324-2978",
            "fax_number": "603-718-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHAWMUT RD STE 103",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020211408",
            "telephone_number": "781-298-3427",
            "fax_number": "339-368-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEO HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-765-3648"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "DS89958",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS89958",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89958",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MA",
            "license": "DS89958",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MA",
            "license": "DS89958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.