Organization
FACTOR ONE SOURCE PHARMACY LLC
Active
Other names
INFUCARE RX OF MD
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA PATEL (PRESIDENT)
(877) 828-3940
Entity
Organization
Contact information
Practice address
217 GLENN ST STE 300, CUMBERLAND, MD 21502-2590
(844) 773-6779
(844) 533-1131
Mailing address
PO BOX 2578, SECAUCUS, NJ 07096-2578
(877) 828-3940
(877) 828-3941
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391655
MEDICARE PTAN
MD
01
—
PW0521
MD PHARMACY LICENSE
MD
Enumeration date
03/24/2014
Last updated
06/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us