Organization Active NPI

Big Bend Infusion LLC

Doing business as Vital Care of Tallahassee

  • Home Infusion Therapy Pharmacy
  • Tallahassee, FL
National Provider Identifier
1932976206
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
BIG BEND INFUSION LLC
Doing business as
Vital Care of Tallahassee
Practice address
124 Marriott Dr Ste 105
Tallahassee, FL 32301-2981
Phone
(850) 558-5588
Fax
(850) 558-5584
NPI assigned
Dec 7, 2023
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Musa DarwishNPI 1114498706
Title
Owner/Pharmacists
Phone
(850) 588-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

124 Marriott Dr Ste 105
Tallahassee, FL 32301-2981

Mailing address

124 Marriott Dr Ste 105
Tallahassee, FL 32301-2981
Phone (850) 558-5588

Other names 1

  • Vital Care of Tallahassee Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240625000397 FL DME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Pharmacy 6800339318 Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Big Bend Infusion LLC124 Marriott Dr, Tallahassee, FL 32301-2981(850) 558-5588 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies|Ostomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment … Accepts assignmentParticipating since Jun 25, 2024

National Provider Directory

National Provider Directory

Locations

124 Marriott Dr
Ste 105
Tallahassee, FL 32301
Phone (850) 558-5588

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1932976206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MARRIOTT DR STE 105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012981",
            "telephone_number": "850-558-5588",
            "fax_number": "850-558-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MARRIOTT DR STE 105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012981",
            "telephone_number": "850-558-5588",
            "fax_number": "850-558-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DARWISH",
        "authorized_official_first_name": "MUSA",
        "authorized_official_title_or_position": "OWNER/PHARMACISTS",
        "authorized_official_telephone_number": "850-588-5588"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.