Healthcare Provider Details

I. General information

NPI: 1649884420
Provider Name (Legal Business Name): MEDPLUS INFUSION PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EASTER CT STE G-H
OWINGS MILLS MD
21117-3294
US

IV. Provider business mailing address

1 EASTER CT STE G-H
OWINGS MILLS MD
21117-3294
US

V. Phone/Fax

Practice location:
  • Phone: 443-641-8090
  • Fax:
Mailing address:
  • Phone: 443-641-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TRACY CAMPBELL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 443-641-8091