Provider Demographics
NPI:1760575583
Name:CONTINUUMRX, INC.
Entity Type:Organization
Organization Name:CONTINUUMRX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:VANRAAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-703-6760
Mailing Address - Street 1:PO BOX 671424
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-1424
Mailing Address - Country:US
Mailing Address - Phone:800-665-2850
Mailing Address - Fax:877-438-9380
Practice Address - Street 1:2210 SUTHERLAND AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2337
Practice Address - Country:US
Practice Address - Phone:865-525-4886
Practice Address - Fax:865-934-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN3332261QI0500X
TN3332332B00000X, 332BP3500X, 3336C0003X, 3336C0004X, 3336H0001X, 3336L0003X
3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100150650Medicaid
KY7100150630Medicaid
TN1452247Medicaid
TN3000553OtherBLUE CROSS BLUE SHIELD DM
TN3133579OtherBLUE CROSS BLUE SHIELD H
0945290001Medicare NSC
0945290001Medicare PIN