Healthcare Provider Details

I. General information

NPI: 1326098716
Provider Name (Legal Business Name): ARJ INFUSION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 MERAMEC BOTTOM RD STE C
SAINT LOUIS MO
63129-2566
US

IV. Provider business mailing address

7930 MARSHALL DR
LENEXA KS
66214-1562
US

V. Phone/Fax

Practice location:
  • Phone: 866-451-8804
  • Fax: 913-451-8914
Mailing address:
  • Phone: 913-451-8804
  • Fax: 913-451-8914

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 Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2005035398
License Number StateMO

VIII. Authorized Official

Name: STEPHEN A LARIVIERE
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 866-776-6782