Provider Demographics
| NPI: | 1295738409 |
|---|---|
| Name: | BIOSCRIP INFUSION SERVICES, LLC. |
| Entity type: | Organization |
| Organization Name: | BIOSCRIP INFUSION SERVICES, LLC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| 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 CIRCLE |
| 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: | 6 VREELAND RD STE 103 |
| Practice Address - Street 2: | |
| Practice Address - City: | FLORHAM PARK |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07932-1501 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-552-3462 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2005-05-23 |
| Last Update Date: | 2023-10-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
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 | 3336M0002X | Suppliers | Pharmacy | Mail Order Pharmacy |
| No | 3336S0011X | Suppliers | Pharmacy | Specialty Pharmacy |
| No | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition |
| No | 333600000X | Suppliers | Pharmacy | |
| No | 3336C0004X | Suppliers | Pharmacy | Compounding Pharmacy |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NJ | 28RS00591500 | Other | PHARMACY |
| 3138648 | Other | NCPDP | |
| NJ | 28RS00591500 | Other | PHARMACY |
| NJ | 1135470001 | Medicare NSC | |
| IL | 054.014594 | Other | LICENSE |
| MO | 2002011787 | Other | LICENSE |
| NJ | 28RS00591500 | Other | LICENSE |
| WV | MI0000787 | Other | LICENSE |
| 1135470001 | Medicare NSC | ||
| NY | 026033 | Other | LICENSE |
| MS | 05561/7.1 | Other | LICENSE |
| KS | 22-01842 | Other | LICENSE |
| IA | 3424 | Other | LICENSE |
| NH | NR0240 | Other | LICENSE |
| DC | NRX1000181 | Other | LICENSE |
| AR | OS02472 | Other | LICENSE |
| CO | OSP.0005334 | Other | LICENSE |
| NJ | 0064122 | Medicaid | |
| WI | 66-43 | Other | LICENSE |
| LA | 6824-NR | Other | LICENSE |
| ND | PHAR564 | Other | LICENSE |
| OR | 0002960 | Other | LICENSE |
| OH | 021426700 | Other | LICENSE |
| AL | 112074 | Other | LICENSE |
| ID | 1670MS | Other | LICENSE |
| SD | 400-0295 | Other | LICENSE |
| MI | 5301007870 | Other | LICENSE |
| UT | 6116950-1708 | Other | LICENSE |
| CA | NRP 485 | Other | LICENSE |
| NM | PH00002446 | Other | LICENSE |
| HI | PMP-259 | Other | LICENSE |
| AZ | Y005787 | Other | LICENSE |
| NC | 08157 | Other | LICENSE |
| AK | 832 | Other | LICENSE |
| DE | A9-0000383 | Other | LICENSE |
| ME | MO40000837 | Other | LICENSE |
| NV | PH01744 | Other | LICENSE |
| VA | 0214001436 | Other | LICENSE |
| MT | 1311 | Other | LICENSE |
| MN | 262183 | Other | LICENSE |
| TN | 5247 | Other | LICENSE |
| IN | 64000397A | Other | LICENSE |
| NE | 811 | Other | LICENSE |
| OK | 99-1198 | Other | LICENSE |
| NJ | NJ1661 | Other | LICENSE |
| RI | PHN09836 | Other | LICENSE |
| FL | 24375 | Other | LICENSE |
| WY | 31-07039 | Other | LICENSE |
| MD | P02533 | Other | LICENSE |
| CT | PCN.0000351 | Other | LICENSE |
