Provider Demographics
NPI:1326279746
Name:OPTION CARE INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:OPTION CARE INFUSION SERVICES, LLC
Other - Org Name:VANDERBILT HC/WALGREENS IV & RT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:4222 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0042
Mailing Address - Country:US
Mailing Address - Phone:800-879-6137
Mailing Address - Fax:
Practice Address - Street 1:624 GRASSMERE PARK
Practice Address - Street 2:SUITE 22
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3662
Practice Address - Country:US
Practice Address - Phone:877-726-0776
Practice Address - Fax:615-726-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
TN0000003433332B00000X, 332BP3500X, 332BX2000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100112320Medicaid
4442466OtherNCPDP
TN4442466Medicaid
KY7100112200Medicaid
TN1516830Medicaid
TN1516830Medicaid
6300950001Medicare NSC