Provider Demographics
NPI:1427126150
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 1:187 COUNTRY PLACE PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-6676
Practice Address - Country:US
Practice Address - Phone:601-936-7012
Practice Address - Fax:601-936-3953
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOSCRIP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-01
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 261QI0500X, 332B00000X, 333600000X, 3336C0004X, 3336M0002X
MS0422602.1332BP3500X, 3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2519772OtherNCPDP #
MS0422602.1OtherPHARMACY LICENSE #
MS00330473OtherMS MEDICAID IV
MS00440550OtherMS MEDICAID DME
2519772OtherNCPDP #
BI5799498OtherDEA NUMBER