Provider Demographics
NPI:1497759443
Name:APPLE INFUSION INC
Entity Type:Organization
Organization Name:APPLE INFUSION INC
Other - Org Name:APPLE INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-860-1669
Mailing Address - Street 1:404B N FRUITLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7261
Mailing Address - Country:US
Mailing Address - Phone:410-860-1669
Mailing Address - Fax:410-860-9540
Practice Address - Street 1:404B N FRUITLAND BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7261
Practice Address - Country:US
Practice Address - Phone:410-860-1669
Practice Address - Fax:410-860-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW00933336C0003X, 3336C0003X
MDPWOO93333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2034824OtherPK
MD603302400Medicaid
0529120001Medicare NSC
VA009107461Medicaid