Provider Demographics
NPI:1295803831
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: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, 251F00000X, 261QI0500X, 332B00000X, 333600000X, 3336C0004X, 3336M0002X, 3336S0011X
TN3394332BP3500X, 3336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
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
TN1083OtherHME LICENSE
4435726OtherNCPDP NUMBER
TN3394OtherPHARMACY LICENSE #
BI7590993OtherDEA NUMBER
BI7590993OtherDEA NUMBER
0809470008Medicare NSC
BI7590993OtherDEA NUMBER
AROS01577OtherLICENSE
MS00330686OtherMS MEDICAID IV
TN1454226Medicaid