Kcc, Inc. is a Home Infusion Therapy Pharmacy based in Meridian, MS and is specialized in Home Infusion Therapy Pharmacy. Kcc, Inc. practices in Meridian, MS. The NPI Number for Kcc, Inc. is 1780619528 and holds a License No. 111985 (Mississippi).
The current practice location address for Kcc, Inc. is 1501 23Rd Ave, Meridian, MS and can be reached out via phone at 601-482-4003 and via fax at 601-482-3948.
Location: 1501 23Rd Ave, Meridian, MS, 39301-4586
Provider Profile Details
NPI Number
1780619528
Provider Name
Kcc, Inc.
Credential
Provider Entity Type
Organization
Address
1501 23Rd Ave, Meridian, MS, 39301-4586
Phone Number
601-482-4003
Fax Number
601-482-3948
Provider Enumeration Date
07/11/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057068 | 05 | AL | |
| 100002498 | 05 | AL | |
| 515-02164 | 01 | AL | BCBS - DME |
| 870001313 | 01 | MS | MEDICARE LOCAL PART B |
| 0000404202 | 05 | MS | |
| 104747300 | 01 | OWCP | |
| 510-43792 | 01 | AL | BCBS |
| P00105652 | 01 | MS | MEDICARE RR |
| 00330015 | 05 | MS | |
| 01-25941 | 01 | NCPDP | |
| 25-86014 | 01 | NCPDP |
Provider Business Practice Location Address Details
Address
1501 23Rd Ave
City
State
Zip
39301-4586
Phone Number
601-482-4003
Fax Number
601-482-3948
Provider Business Mailing Address Details
Address
1501 23Rd Ave
City
State
Zip
39301-4586
Phone Number
601-482-4003
Fax Number
601-482-3948
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
111985 (Alabama)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
111985 (Alabama)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
111985 (Alabama)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
111985 (Alabama)
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
111985 (Alabama)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
111985 (Alabama)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
111985 (Alabama)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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