1790734036 CORAM ALTERNATE SITE SERVICES INC

Home Infusion Therapy Pharmacy

Active

Basic Information

Organization Name
CORAM ALTERNATE SITE SERVICES INC
Enumeration Date
May 5, 2006
Last Update
March 7, 2023
Authorized Official
TRICIA LACAVICH
PRESIDENT
Phone: (314) 306-3255

Practice Location

Address
12310 WORLD TRADE DR
SUITE 100
SAN DIEGO, CA 921283793
Phone
(858) 576-6969
Fax
(858) 974-6606

Mailing Address

Address
PO BOX 809160
CHICAGO, IL 606809160
Phone
(480) 765-5043
Fax
(401) 733-0211

Specialties & Taxonomies

Specialty Code Classification License State Primary
Home Health Agency
251E00000X Home Health 0800429 CA No
Home Infusion Agency
251F00000X Home Infusion 0800429 CA No
Infusion Therapy Clinic/Center
Infusion Therapy
261QI0500X Clinic/Center N/A CA No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies PHY50273 CA No
Parenteral & Enteral Nutrition Supplies (DME)
Parenteral & Enteral Nutrition
332BP3500X Durable Medical Equipment & Medical Supplies PHY50273 CA No
Pharmacy
333600000X Pharmacy PHY50273 CA No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy PHY50273 CA No
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy PHY50273 CA No
Mail Order Pharmacy
Mail Order Pharmacy
3336M0002X Pharmacy PHY50273 CA No
Specialty Pharmacy
Specialty Pharmacy
3336S0011X Pharmacy PHY50273 CA No
Home Infusion Therapy Pharmacy
Home Infusion Therapy Pharmacy
3336H0001X Pharmacy PHY50273 CA Primary

Other Identifiers

Identifier Type State Issuer
0522311 01 N/A NCPDP
PHA409320 05 CA N/A
101225 01 CA MEDICAL DEVICE RETAILER
0800429 01 CA HOME HEALTH AGENCY
PHY50273 01 CA PHARMACY LICES

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2

Affiliation: ABILITY Network

Frequently Asked Questions

What is CORAM ALTERNATE SITE SERVICES INC's NPI number?
CORAM ALTERNATE SITE SERVICES INC's NPI number is 1790734036.
Which doctor has NPI number 1790734036?
The doctor with NPI number 1790734036 is CORAM ALTERNATE SITE SERVICES INC.
What is CORAM ALTERNATE SITE SERVICES INC's practice address?
CORAM ALTERNATE SITE SERVICES INC's practice address is 12310 WORLD TRADE DR, SUITE 100, SAN DIEGO, CA, 921283793.
Which doctor practices at 12310 WORLD TRADE DR, SUITE 100, SAN DIEGO, CA, 921283793?
CORAM ALTERNATE SITE SERVICES INC practices at 12310 WORLD TRADE DR, SUITE 100, SAN DIEGO, CA, 921283793.
What is CORAM ALTERNATE SITE SERVICES INC's mailing address?
CORAM ALTERNATE SITE SERVICES INC's mailing address is PO BOX 809160, CHICAGO, IL, 606809160.
What is CORAM ALTERNATE SITE SERVICES INC's phone number?
CORAM ALTERNATE SITE SERVICES INC's phone number is (858) 576-6969.
Who is (858) 576-6969?
(858) 576-6969 is the phone number for CORAM ALTERNATE SITE SERVICES INC.
What is CORAM ALTERNATE SITE SERVICES INC's specialty?
CORAM ALTERNATE SITE SERVICES INC's specialty is Home Infusion Therapy Pharmacy.
What type of doctor is CORAM ALTERNATE SITE SERVICES INC?
CORAM ALTERNATE SITE SERVICES INC is a Home Infusion Therapy Pharmacy.
Is CORAM ALTERNATE SITE SERVICES INC a Home Infusion Therapy Pharmacy?
Yes, CORAM ALTERNATE SITE SERVICES INC is a Home Infusion Therapy Pharmacy.
Is CORAM ALTERNATE SITE SERVICES INC still practicing?
Yes, CORAM ALTERNATE SITE SERVICES INC is currently practicing.
Is CORAM ALTERNATE SITE SERVICES INC accepting new patients?
CORAM ALTERNATE SITE SERVICES INC may be accepting new patients. Please call their office at (858) 576-6969 to inquire about availability.
Is NPI 1790734036 still active?
Yes, NPI 1790734036 is currently active.
Where does CORAM ALTERNATE SITE SERVICES INC practice?
CORAM ALTERNATE SITE SERVICES INC practices in SAN DIEGO, CA.