BEACON HC PHARM SB - NPI 1699102046 - Pharmacy in South Bend, IN

Q: What is Beacon Health Ventures, Inc's NPI number?

The NPI number for Beacon Health Ventures, Inc is 1699102046. It was assigned to this organization in the NPPES registry on October 1, 2013. The provider is doing business as Beacon Hc Pharm Sb.

Q: What is Beacon Health Ventures, Inc's specialty?

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

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About Beacon Hc Pharm Sb NPPES

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

BEACON HC PHARM SB (NPI 1699102046) is a healthcare organization registered as a home infusion therapy pharmacy in South Bend, Indiana and active in the NPI registry since October 2013. The organization lists Greg Conrad, Vice President, as its authorized official.

NPPES Registry Identity

NPI1699102046

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameBEACON HEALTH VENTURES, INC

Location Address3355 DOUGLAS RDSouth Bend, IN 46635

Mailing Address3355 Douglas Rd, Suite 400South Bend, IN 46635-1781 · (574) 647-2273 · Fax (574) 647-8764

Phone(574) 647-2273

Organization SubpartNo

Authorized OfficialGreg ConradVice President · (574) 647-8777

Enumeration DateOctober 1, 2013

Last NPPES UpdateJune 17, 2016

✔ NPI 1699102046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

License✔ Licensed in IN · 60004143A

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

3355 DOUGLAS RD, South Bend, IN 46635

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Other Names 1

Doing Business AsBeacon Hc Pharm Sb

Other Identifiers 3

Medicaid100301140AIN

Other000000097412Anthem

Medicare NSC0369000001

Other Providers at the Same Location NPPES 11

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

ANN H MOORE R.PH

Pharmacist