Healthcare Provider Details

I. General information

NPI: 1124579024
Provider Name (Legal Business Name): CONTINUUMRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 PLEASANT VALLEY RD STE 200
CHANTILLY VA
20151-1220
US

IV. Provider business mailing address

PO BOX 661309
DALLAS TX
75266-1309
US

V. Phone/Fax

Practice location:
  • Phone: 800-665-2850
  • Fax:
Mailing address:
  • Phone: 800-665-2850
  • Fax: 877-438-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberMO0561107
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0201004794
License Number StateVA
# 8
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberP07613
License Number StateMD

VIII. Authorized Official

Name: MR. KEITH HARTMAN
Title or Position: COO
Credential:
Phone: 800-665-2850