Healthcare Provider Details

I. General information

NPI: 1952469561
Provider Name (Legal Business Name): FRYE HOME INFUSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 NORTH CENTER ST SUITE 002
HICKORY NC
28601
US

IV. Provider business mailing address

PO BOX 2221
HICKORY NC
28603-2221
US

V. Phone/Fax

Practice location:
  • Phone: 828-315-3043
  • Fax: 828-315-5935
Mailing address:
  • Phone: 828-315-3043
  • Fax: 828-315-5935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1719
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number12252
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number12252
License Number StateNC

VIII. Authorized Official

Name: EDWARD BLAKE SALYARDS
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: RPH
Phone: 828-315-3043