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Organization

BIOSCRIP PHARMACY(NY), INC

Active
Other names
BioScrip Infusion Services
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SHAPIRO (PRESIDENT & CFO)
(800) 879-6137
Entity
Organization

Contact information

Practice address
1 VERMONT DR., LAKE SUCCESS, NY 11042
(877) 501-0108
(516) 355-9322
Mailing address
1600 BROADWAY, SUITE 700, DENVER, CO 80202
(720) 697-5171

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
028120
NY
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003095199
CT
01
021198900
LICENSE
OH
01
021820
LICENSE
NY
05
02244640
NY
05
1009850
PA
05
1009850
VT
01
10483
LICENSE
SC
01
17218
LICENSE
FL
01
2004020573
LICENSE
MO
01
28RO00023400
LICENSE
NJ
01
64000309A
LICENSE
IN
05
6754201
NJ
05
6754210
NJ
01
A9-0000425
LICENSE
DE
01
MO40001165
LICENSE
ME
01
NR0135
LICENSE
NH
01
PCN.0000299
LICENSE
CT
01
PH01478
LICENSE
NV
01
PHN10000
LICENSE
RI
01
PMP-237
LICENSE
HI
Enumeration date
05/23/2005
Last updated
04/12/2022
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