Healthcare Provider Details

I. General information

NPI: 1689623555
Provider Name (Legal Business Name): ACCREDO HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 INVERNESS DR S STE F
ENGLEWOOD CO
80112-5860
US

IV. Provider business mailing address

PO BOX 954041
SAINT LOUIS MO
63195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-799-6550
  • Fax: 303-799-6551
Mailing address:
  • Phone: 901-381-7141
  • Fax: 901-261-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPDO.0370000032
License Number StateCO

VIII. Authorized Official

Name: VICTOR JOSEPH PERINI
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 314-847-0146