CORAM ALTERNATE SITE SERVICES, INC.
NPI 1518073832
Pharmacy - Home Infusion Therapy Pharmacy in Johnson City, TN

Q: What is Coram Alternate Site Services, Inc.'s NPI number?

The NPI number for Coram Alternate Site Services, Inc. is 1518073832. It was assigned to this organization in the NPPES registry on August 21, 2006.

Q: What is Coram Alternate Site Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Active since August 21, 2006

1009 LARK ST, SUITE 2, JOHNSON CITY, TN 37604(423) 434-0110(423) 434-0095 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Oct 20, 2022 (2 updates tracked since 2022).

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About Coram Alternate Site Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAM ALTERNATE SITE SERVICES, INC. (NPI 1518073832) is a healthcare organization registered as a home infusion therapy pharmacy in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization lists Tricia L Lacavich, President, as its authorized official.

NPPES Registry Identity

NPI1518073832

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameCORAM ALTERNATE SITE SERVICES, INC.

Location Address1009 LARK ST, SUITE 2Johnson City, TN 37604-8217

Mailing Address1675 Broadway, Suite 900Denver, CO 80202-4675 · (303) 672-8631 · Fax (303) 298-0047

Phone(423) 434-0110

Fax(423) 434-0095

Organization SubpartYes

Authorized OfficialTricia L LacavichPresident · (318) 407-1785

Enumeration DateAugust 21, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1518073832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

License✔ Licensed in TN · 0000001704

Definition

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.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHome InfusionTaxonomy 251F00000X

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 0000001704 (TN)

Also ListedPharmacyTaxonomy 333600000X · License 0000001704 (TN)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 0000001704 (TN)

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License 0000001704 (TN)

1009 LARK ST, Johnson City, TN 37604

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Other Identifiers 7

Medicaid0445486NC

Other4426892Ncpdp

Medicaid7701520NC

Medicaid145206TN

Medicaid009111158VA

Other0000001704TN · Rx License

Medicaid008506671VA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA W GREEN CRNA