=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952469561
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRYE HOME INFUSION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 415 NORTH CENTER ST SUITE 002
-----------------------------------------------------
City | HICKORY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-315-3043
-----------------------------------------------------
Fax | 828-315-5935
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2221
-----------------------------------------------------
City | HICKORY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28603-2221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-315-3043
-----------------------------------------------------
Fax | 828-315-5935
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATIVE DIRECTOR
-----------------------------------------------------
Name | EDWARD BLAKE SALYARDS
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 828-315-3043
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number | 12252
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 12252
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC1719
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------