Organization Active NPI

Dixie Infusion Pharmacy 2, LLC

Doing business as Dixie Vital Care 2 AIC

  • Infusion Therapy Clinic/Center
  • Smiths Grove, KY
National Provider Identifier
1962985143
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
DIXIE INFUSION PHARMACY 2, LLC
Doing business as
Dixie Vital Care 2 AIC
Practice address
124 N Main St Ste 101
Smiths Grove, KY 42171-8323
Phone
(615) 525-3142
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Navas Yoonus
Title
Owner
Phone
(615) 525-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

124 N Main St Ste 101
Smiths Grove, KY 42171-8323

Mailing address

124 N Main St Ste 101
Smiths Grove, KY 42171-8323

Other names 1

  • Dixie Vital Care 2 AIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1962985143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST STE 101",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421718323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST STE 101",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421718323",
            "telephone_number": "615-525-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE INFUSION PHARMACY 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "YOONUS",
        "authorized_official_first_name": "NAVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-525-3142"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Vital Care 2 AIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smiths Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.