NPIMap

Organization Active NPI

Spectrum Infusion, Inc

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1972827541
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6231 Issued in NC
Legal business name
SPECTRUM INFUSION, INC
Practice address
3221 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8063
Phone
(919) 781-2241
Fax
(919) 781-7060
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Alan Wicker Knight, RPHNPI 1225898927
Title
President
Phone
(919) 781-2241

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6231 NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3221 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8063

Mailing address

3221 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8063
Phone (919) 781-2241

Other identifiers 3

IdentifierTypeStateIssuer
6231OtherNCNC STATE PHARMACY LICENSE #
0929454MedicaidNC
3434684OtherNCNABP #

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Infusion Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2601 Blue Ridge Rd
Ste 2
Raleigh, NC 27607
Phone (919) 781-2241

3221 Blue Ridge Rd
Ste 101
Raleigh, NC 27612
Phone (919) 274-0638

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1972827541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128063",
            "telephone_number": "919-781-2241",
            "fax_number": "919-781-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128063",
            "telephone_number": "919-781-2241",
            "fax_number": "919-781-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM INFUSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "WICKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-2241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "6231",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE PHARMACY LICENSE #",
            "identifier": "6231",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929454",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3434684",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.