Provider Demographics
NPI:1669602785
Name:INFUSION PARTNERS LLC
Entity type:Organization
Organization Name:INFUSION PARTNERS 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 1:1680 CENTURY CENTER PKWY
Practice Address - Street 2:SUITE 9
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8827
Practice Address - Country:US
Practice Address - Phone:901-383-7077
Practice Address - Fax:901-383-6566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRITICAL HOMECARE SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-23
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33943336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4435726OtherNCPDP
TN3003172Medicaid
TN3394OtherPHARMACY LICENSE NUMBER
TNBI7590993OtherDEA
TN3394OtherPHARMACY LICENSE NUMBER