NPIMap

Organization Active NPI

1St America Infusion Services LLC

  • Specialty Pharmacy
  • Cockeysville, MD
National Provider Identifier
1992553382
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
1ST AMERICA INFUSION SERVICES LLC
Practice address
10 Warren Rd Ste 220
Cockeysville, MD 21030-2531
Phone
(833) 607-2874
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Juderal Hall
Title
President
Phone
(800) 482-8466

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

10 Warren Rd Ste 220
Cockeysville, MD 21030-2531

Mailing address

623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077
Phone (769) 300-0803

Other identifiers 1

IdentifierTypeStateIssuer
212184101MedicaidMD

Other names 1

  • Advanced InfusionCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Infusioncare5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1992553382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576077",
            "telephone_number": "769-300-0803",
            "fax_number": "866-204-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WARREN RD STE 220",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302531",
            "telephone_number": "833-607-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST AMERICA INFUSION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JUDERAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-482-8466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212184101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced InfusionCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.