Coram Healthcare Corporation of N Y

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

022522 Issued in NY

Legal business name

CORAM HEALTHCARE CORPORATION OF N Y

Practice address

375 N French Rd
Suite 108
Amherst, NY 14228-2009

Phone

(716) 691-3000

Fax

(716) 691-5093

NPI assigned

Aug 5, 2006

Organization subpart

Yes

Parent organization

CORAM HEALTHCARE CORPORATION OF NEW YORKAs reported in NPPES

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

Authorized official

Name

Michael Dell

Title

Vice President

Phone

(303) 292-4973

Specialties & licenses 8

Addresses

Other identifiers 2

Part of

Coram Healthcare Corpor

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982613428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 250",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179529",
            "telephone_number": "724-873-7870",
            "fax_number": "949-639-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N FRENCH RD",
            "address_2": "SUITE 108",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282009",
            "telephone_number": "716-691-3000",
            "fax_number": "716-691-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF N Y",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM HEALTHCARE CORPORATION OF NEW YORK",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-292-4973"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9694L002",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "9694L002",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NY",
            "license": "9694L002",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "022522",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022522",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022522",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "022522",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NY",
            "license": "022522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDPD",
            "identifier": "3305085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "3305085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alize S Cooley
• Gabrielle Cooper
• Genetino T Coplin
• Michelle Elyse Copolo-Ziemer, ATC
• Coram Healthcare Corporation of Greater New York
• Maria Corio, P.T., D.P.T.
• Marja Cormack-Price
• Heidi A Cornell, NP
• Gabriel Cortes, D.O.
• Kathleen F Cosgrove-Drury, N.P.

• All providers in Amherst, NY
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.