Provider Demographics
NPI:1558518795
Name:MEDNOW INFUSION, LLC
Entity Type:Organization
Organization Name:MEDNOW INFUSION, LLC
Other - Org Name:OPTION CARE
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:847-332-0298
Practice Address - Street 1:800 S. INDUSTRY WAY
Practice Address - Street 2:SUITE 240
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-3559
Practice Address - Country:US
Practice Address - Phone:208-884-0669
Practice Address - Fax:208-884-4976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
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
ID808178400Medicaid
ID808187200Medicaid
1308192OtherNCPDP
OR270961Medicaid
OR270960Medicaid
OR500615025Medicaid
OR270961Medicaid
ID6140860005Medicare NSC