MEDICARE: INFUCARE RX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies	PH12559	FL
3	3336C0004X	Compounding Pharmacy
4	3336S0011X	Specialty Pharmacy
5	3336H0001X	Home Infusion Therapy Pharmacy	PH12559	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1088055	OTHER	FL	NCPDP

General Provider Information

NPI Number	:	1124051180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFUCARE RX, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2578
Second Line	:
City	:	SECAUCUS
State	:	NJ
Zip	:	07096
Country	:	US
Telephone Number	:	877-828-3940
Fax Number	:	877-828-3941

Provider Business Practice Location Address
First Line	:	1959 W 9TH ST
Second Line	:	SUITE A
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33404
Country	:	US
Telephone Number	:	561-842-2828
Fax Number	:	561-472-2280

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DHARA PATEL
Credential	:
Telephone Number	:	877-828-3940

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/20/2025

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Directions to “INFUCARE RX, LLC ” Practice Location

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