Healthcare Provider Details

I. General information

NPI: 1457649873
Provider Name (Legal Business Name): CONTINUUMRX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 10/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N STATE ST SUITE 102
JACKSON MS
39202-1689
US

IV. Provider business mailing address

PO BOX 830525 DEPT R 2
BIRMINGHAM AL
35283-0525
US

V. Phone/Fax

Practice location:
  • Phone: 800-665-2850
  • Fax: 877-438-9380
Mailing address:
  • Phone: 205-968-9500
  • Fax: 205-991-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number08824
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number08824
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number08824
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08824
License Number StateMS
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number08824
License Number StateMS
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number08824
License Number StateMS
# 7
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number08824
License Number StateMS

VIII. Authorized Official

Name: MR. TOD C. HANSON
Title or Position: VP OF OPERATIONS
Credential:
Phone: 205-968-9500