CORAM HEALTHCARE CORPORATION OF NEW YORK
NPI 1750462479
Pharmacy - Home Infusion Therapy Pharmacy in Syracuse, NY
NPI Status: Active since October 18, 2006
Contact Information
2949 ERIE BLVD E
SUITE 103
SYRACUSE, NY
ZIP 13224
Phone: (315) 425-8028
Fax: (315) 425-0989
- Organization
- Pharmacy
- Home Infusion Therapy Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
About CORAM HEALTHCARE CORPORATION OF NEW YORK
This page provides the complete NPI Profile along with additional information for Coram Healthcare Corporation Of New York, a provider established in Syracuse, New York operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1750462479 assigned on October 2006. The practitioner's primary taxonomy code is 3336H0001X with license number 17027989 (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Vito Ponzio, Jr. (Sr Vp)
- NPI
- 1750462479
- Provider Name
- CORAM HEALTHCARE CORPORATION OF NEW YORK
- Entity Type
- Organization
- Location Address
- 2949 ERIE BLVD E SUITE 103 SYRACUSE, NY 13224
- Location Phone
- (315) 425-8028
- Location Fax
- (315) 425-0989
- Mailing Address
- 1675 BROADWAY SUITE 900 DENVER, CO 80202
- Mailing Phone
- (303) 672-8631
- Mailing Fax
- (315) 425-0989
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-18-2006
- Last Update Date
- 03-07-2023
- Code Navigator
Coram Healthcare Corporation Of New York is a medicare supplier with PTAN 20409101 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or External Infusion Pumps and/or Supplies or Insulin Infusion Pumps and/or Supplies or Implanted Infusion Pumps and/or Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Home Infusion Therapy Pharmacy
- Taxonomy Code
- 3336H0001X
- Type
- Suppliers
- License No.
- 17027989
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 9694L003 (NY) |
| 2 | 251F00000X | Agencies | Home Infusion | 9694L003 (NY) |
| 3 | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | N/A (NY) |
| 4 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | 17027989 (NY) |
| 5 | 333600000X | Suppliers | Pharmacy | 17027989 (NY) |
| 6 | 3336C0003X | Suppliers | Pharmacy | 17027989 (NY) |
| 7 | 3336M0002X | Suppliers | Pharmacy | 17027989 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9694L003 | OTHER (01) | NY | HOME HEALTH AGENCY |
| 17027989 | OTHER (01) | NY | RX LICENSE |
| 3305011 | OTHER (01) | NCPDP |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20409101
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Insulin Infusion Pumps and/or Supplies - Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
- Implanted Infusion Pumps and/or Supplies - Implantable infusion pumps, catheters, refill kits
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Parenteral Nutrients - Parenteral nutrient solutions
- Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 6 | 2 | 4 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 6 | 4 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 6 + 4 + 4 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1750462479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871647636 | MRS. KRISTINE A. CERVANTES LPT Individual | Physical Therapist | 2949 ERIE BLVD E SYRACUSE, NY 13224 (315) 251-1036 |
| 1275651754 | MR. MARK WILLIAM LAQUE RPH Individual | Pharmacist | 2949 ERIE BLVD E SUITE 103 SYRACUSE, NY 13224 (315) 425-8028 |
| 1003085267 | MRS. REBECCA LYNN WEBB RPH Individual | Pharmacist | 2949 ERIE BLVD E SUITE 103 SYRACUSE, NY 13224 (315) 425-8028 |
| 1114224235 | TARA K VINCENT RPH Individual | Pharmacist | 2949 ERIE BLVD E SUITE 103 SYRACUSE, NY 13224 (315) 425-8028 |
| 1215932686 | TRACY E. BARRETT-TANGOREN M.D. Individual | Internal Medicine (Pulmonary Disease) | 2949 ERIE BLVD E STE 110 SYRACUSE, NY 13224 (315) 579-9037 |
| 1104822675 | MS. DEBORAH L. SCHU RNNP Individual | Nurse Practitioner (Adult Health) | 2949 ERIE BLVD E SUITE 110 SYRACUSE, NY 13224 (315) 424-1430 |
| 1134276652 | MRS. ALISA MARIE MURPHY PA-C Individual | Physician Assistant | 2949 ERIE BLVD E SUITE 110 SYRACUSE, NY 13224 (315) 424-1430 |
| 1528227535 | RENUKA NAYAK PT Individual | Physical Therapist | 2949 ERIE BLVD E SUITE 112 SYRACUSE, NY 13224 (315) 251-1036 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750462479, enumerated in the NPI registry as an "organization" on October 18, 2006
The provider is located at 2949 Erie Blvd E Suite 103 Syracuse, Ny 13224 and the phone number is (315) 425-8028
This medical organization specializes in Pharmacy with taxonomy code 3336H0001X with a focus in Home Infusion Therapy Pharmacy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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