Healthcare Provider Details

I. General information

NPI: 1396073607
Provider Name (Legal Business Name): INFUPHARMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 NE 8TH AVE
FORT LAUDERDALE FL
33304-2001
US

IV. Provider business mailing address

200 W LEXINGTON AVE STE 203
HIGH POINT NC
27262-2599
US

V. Phone/Fax

Practice location:
  • Phone: 866-349-6213
  • Fax: 954-391-6154
Mailing address:
  • Phone: 336-309-3692
  • Fax: 954-391-6154

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 Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
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 TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS E HILL
Title or Position: PRESIDENT
Credential:
Phone: 336-309-3692