Active NPI
Big Bend Infusion LLC
Doing business as Vital Care of Tallahassee
- Home Infusion Therapy Pharmacy
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Musa Darwish
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240625000397 | FL | DME Supplier - Medical Supply Company With Registered Pharmacist | 6800339318 | Practice locations: Tallahassee, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Big Bend Infusion LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Tallahassee, FL
- NPI 1114498706
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.