Organization Active NPI

Bioscrip Pharmacy, Inc.

Doing business as BioScrip Pharmacy

  • Community/Retail Pharmacy
  • Miami Beach, FL
National Provider Identifier
1881697530
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0015155 Issued in FL
Legal business name
BIOSCRIP PHARMACY, INC.
Doing business as
BioScrip Pharmacy
Practice address
1669 Meridian Ave
Ste 102
Miami Beach, FL 33139-2842
Phone
(305) 534-1980
NPI assigned
May 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
James Melancon
Title
Vice President
Phone
(917) 449-6939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH0015155 FL
Community/Retail Pharmacy 3336C0003X PH0015155 FL Primary

Addresses

Primary practice location

1669 Meridian Ave
Ste 102
Miami Beach, FL 33139-2842

Mailing address

10050 Crosstown Cir
Ste 300
Eden Prairie, MN 55344-3374
Phone (800) 753-5995

Other identifiers 10

IdentifierTypeStateIssuer
000246100MedicaidMD
1080275MedicaidMI
0577205MedicaidIA
105451100MedicaidFL
6027148MedicaidWA
105449001MedicaidFL
0220422MedicaidMO
30702615MedicaidNH
7F5155MedicaidSC
1007771500012MedicaidPA

Other names 1

  • BioScrip Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1669 Meridian Ave
Ste 102
Miami Beach, FL 33139
Phone (305) 534-1980

NPI Registry JSON

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

{
    "created_epoch": "1116979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1881697530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 CROSSTOWN CIR",
            "address_2": "STE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443374",
            "telephone_number": "800-753-5995",
            "fax_number": "952-352-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 MERIDIAN AVE",
            "address_2": "STE 102",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392842",
            "telephone_number": "305-534-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSCRIP PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-25",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-449-6939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH0015155",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0015155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000246100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080275",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577205",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105451100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027148",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105449001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220422",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30702615",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7F5155",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007771500012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.