BIOSCRIP PHARMACY SERVICES, INC

Provider Demographics

• NPI: 1619970845
• Name: BIOSCRIP PHARMACY SERVICES, INC
• Entity Type: Organization
• Organization Name: BIOSCRIP PHARMACY SERVICES, INC
• Other - Org Name: BIOSCRIP PHARMACY SERVICES
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PRESIDENT & CFO
• Authorized Official - First Name: MICHAEL
• Authorized Official - Last Name: SHAPIRO
• Authorized Official - Phone: 800-879-6137
• Mailing Address - Street 1: 4222 PAYSPHERE CIRCLE
• Mailing Address - City: CHICAGO
• Mailing Address - State: IL
• Mailing Address - Zip Code: 60674-0042
• Mailing Address - Country: US
• Mailing Address - Phone: 800-879-6137
• Practice Address - Street 1: 5700 PERIMETER DR STE B
• Practice Address - City: DUBLIN
• Practice Address - State: OH
• Practice Address - Zip Code: 43017-3247
• Practice Address - Country: US
• Practice Address - Phone: 800-274-7956
• Practice Address - Fax: 614-850-6950
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-05-23
• Last Update Date: 2023-10-27

Provider Licenses

State	License ID	Taxonomies
		251F00000X, 261QI0500X, 332B00000X, 332BP3500X, 333600000X, 3336C0004X, 3336H0001X
OH	020606300	3336M0002X, 3336S0011X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	251F00000X	Agencies	Home Infusion
No	261QI0500X	Ambulatory Health Care Facilities	Clinic/Center	Infusion Therapy
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	332BP3500X	Suppliers	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition
No	333600000X	Suppliers	Pharmacy
No	3336C0004X	Suppliers	Pharmacy	Compounding Pharmacy
No	3336M0002X	Suppliers	Pharmacy	Mail Order Pharmacy
No	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
OH	PMY.020606300-03	Other	PHARMACY
	3653157	Other	NCPDP
	3653157	Other	NCPDP
	BC2124561	Other	DEA
AK	PH456OH	Medicaid
PA	0011938790002	Medicaid
NM	62632	Medicaid
UT	=========001	Medicaid
MD	812266100	Medicaid
OH	0772589	Medicaid
MT	0212524	Medicaid
KY	54000377	Medicaid
TX	188634301	Medicaid
IA	0976282	Medicaid
OK	100244680A	Medicaid
ID	805478900	Medicaid
IL	=========002	Medicaid
CT	003106988	Medicaid
KS	200302970A	Medicaid
	0666650001	Medicare NSC