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PROFESSIONAL HOME IV INC NPI 1053341966


NPI Information

NPI: 1053341966
Provider Name: PROFESSIONAL HOME IV INC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
182 S BIRCH ST
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-8737
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PROFESSIONAL HOME IV INC is a home infusion therapy pharmacy pharmacy in Soldotna, AK. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. PROFESSIONAL HOME IV INC NPI is 1053341966. The provider is registered as an organization entity type.

The provider's business location address is:

182 S BIRCH ST
SOLDOTNA, AK
ZIP 99669-020
Phone: (907) 262-8737
Fax: (907) 260-7405

The provider's authorized official is James Kevin Henderson .
The authorized official title is Owner and has the following contact phone number (907) 262-8737.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 9/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyPHAR490ALASKANo
23336H0001XPharmacyHome Infusion Therapy Pharmacy490ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PH0246MEDICAIDALASKA
21021642MEDICAIDALASKA
3MS1723MEDICAIDALASKA
41028530MEDICAIDALASKA
51619615MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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