What Nutrishare does

Nutrishare LLC is a privately held, Elk Grove, California-based home infusion pharmacy founded in 1991 by pharmacists Rod Okamoto and Tom Diamantidis. It operates as the only US pharmacy exclusively dedicated to home Total Parenteral Nutrition (TPN), providing custom-compounded IV nutrition formulations, sterile compounding, central-line supplies, pumps, and 24/7 clinical support to patients with intestinal failure. Its core technology is a clinical compounding and logistics platform that ships life-sustaining nutrition overnight to all 50 states from three redundant sterile pharmacies in California, Kentucky, and Arizona, supported by an online patient portal, Microsoft Teams-based SMS engagement (NutrishareEngage), and the Nutrishare Neighborhood virtual community.

The company serves primarily patients with Short Bowel Syndrome (well over half of its patient base), pediatric intestinal-failure patients, dysmotility patients, and other long-term intestinal-failure cases referred by gastroenterologists, surgeons, and pediatricians. Each patient is assigned a dedicated 1:1 clinician team staffed by Board Certified Nutrition Support Pharmacists (BCNSP) and Certified Nutrition Support Clinicians (CNSC). Revenue is generated by billing commercial and government insurance (Medicare, TriCare, PPO plans) for compounded TPN formulations, supplies, and integrated clinical-care services, with patient acquisition driven by clinician referrals, an insurance pre-check funnel, direct-to-consumer educational content, and consumer-story-driven word of mouth.

Nutrishare's go-to-market blends sales-led clinician referral, community-led patient engagement, and direct-to-consumer digital acquisition. The business is closely held, with no disclosed institutional investors; leadership comprises President & COO Stephen Holbrook and President & CFO Austin Pulsipher, supported by a Medical Advisory Board of nationally recognized gastroenterologists. Recent strategic activity includes the August 2025 acquisition of select Coram (CVS Health) pharmacy assets and the opening of a third pharmacy in Phoenix, Arizona, materially expanding national capacity.

Name

Nutrishare

Legal name

Nutrishare LLC

Website

https://nutrishare.com

Company type

Private

Founded year

1991

Operating status

Operating

Headcount range

11–50 employees

Short description

Nutrishare is a privately held US home infusion pharmacy exclusively focused on home Total Parenteral Nutrition, serving long-term intestinal-failure patients (Short Bowel Syndrome, dysmotility, pediatric cases) across all 50 states from compounding pharmacies in California, Kentucky, and Arizona.

Ownership category

akta.pro rank

Product category

Home Infusion Pharmacy Services

NAICS

Pharmacies and Drug Retailers (456110), Pharmacies and Drug Retailers (45611)

SIC

Retail-Drug Stores And Proprietary Stores (5912), Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Medication Adherence, Packaging & Fulfillment Services (Blister/Unit-Dose) (HLAFALAJ)

akta.pro secondary industries

Medical Nutrition Therapy (Registered Dietitian) (HSADAFAE), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG), Pharmacy & Health Essentials Delivery (CRAFAFAI)

Keywords

• Home parenteral nutrition
• Home infusion pharmacy
• TPN services
• Specialty pharmacy services
• Nutrition support

Headquarters

HQ city

Elk Grove

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Home TPN Pharmacy Services: Revenue from compounding and dispensing custom parenteral nutrition formulations, supplies, and clinical care services billed to insurance. Services include TPN bags, central line supplies, pumps, and ongoing nutritional formulation adjustments. Most primary and secondary insurance plans cover home TPN when physician-prescribed.
2. Clinical Care Services: Dedicated 1-to-1 clinician monitoring, lab coordination, nutrition plan adjustments, and patient education services integrated into TPN care delivery

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Nutrishare is a specialized home infusion pharmacy that compounds and dispenses custom Total Parenteral Nutrition (TPN) formulations for patients who cannot absorb nutrients through their gastrointestinal tract, shipping the formulations along with supplies, pumps, and 24/7 dedicated 1-to-1 clinical monitoring directly to patients' homes. It operates three compounding pharmacies (California, Kentucky, Arizona) and ships nationwide to all 50 U.S. states under physician prescription with insurance reimbursement.

Product overview

Nutrishare is a specialized home infusion pharmacy providing a unified suite of services focused exclusively on home Total Parenteral Nutrition (TPN). The company's core offering centers on custom-compounded TPN formulations delivered alongside comprehensive clinical support, including dedicated one-to-one care teams of board-certified nutrition support pharmacists, nurses, and dietitians. Nutrishare operates three pharmacy locations (Arizona, California, Kentucky) and provides nationwide shipping with an online ordering platform. Supporting services include the Nutrishare Neighborhood virtual community, SMS-based NutrishareEngage notifications, TPN education resources, and insurance pre-check support. The company serves both adult and pediatric patients requiring long-term parenteral nutrition for conditions such as short bowel syndrome and intestinal dysmotility.

Differentiator

Problem solved

Functional benefit

Brands

• Nutrishare Engage: A mobile application for Nutrishare patients providing engagement features and services.

Products and services

• Home Total Parenteral Nutrition (TPN) Services Specialized home infusion pharmacy service providing custom-compounded Total Parenteral Nutrition for patients who cannot absorb nutrients through their gastrointestinal tract. Includes custom TPN formulations, supplies, pumps, and 24/7 dedicated 1-to-1 clinical monitoring delivered to patients' homes nationwide, billed through insurance when physician-prescribed.
• Nutrishare Neighborhood Community Webinars Virtual community platform offering monthly and quarterly webinars and consumer education seminars for TPN patients, caregivers, and clinicians via Zoom. Covers topics such as traveling with nutrition support, PN troubleshooting, quality of life, camp confidence for pediatric patients, and career management on TPN.
• NutrishareEngage (SMS Notifications) Person-to-person SMS-based notification system delivered via Microsoft Teams for operational updates, order coordination, delivery logistics, and customer support for Nutrishare TPN patients.
• Insurance Pre-Check Services Insurance verification and benefits navigation service that confirms coverage for home TPN with primary and secondary insurance plans, and helps patients understand and maximize their benefits before starting service.

Quantifiable outcome

• Decrease in hospitalization frequency for Nutrishare patients compared to industry benchmarks
• +2 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Coram (CVS Health)coreStrategic or Co-development Partner · 15 August 2025Nutrishare acquired select pharmacy home infusion assets from Coram, a CVS Health company, following Coram's decision to consolidate local pharmacies into three national hubs. This acquisition enabled Nutrishare to open a third pharmacy in Arizona, strengthening its ability to serve home TPN patients across all 50 states. The acquisition represents a significant expansion of Nutrishare's operational footprint and patient service capacity.
• MoogminorStrategic or Co-development PartnerCollaboration on Nutrishare Neighborhood webinars including 'Traveling with Confidence' and 'The Latest in PN Troubleshooting'. Moog, an infusion pump manufacturer, co-presents educational webinars with Nutrishare to support TPN patients and clinicians on best practices for using infusion equipment.
• Oley FoundationcoreStrategic or Co-development PartnerBronze Partner status. The Oley Foundation is a national consumer organization for home nutrition support that provides education, advocacy, and networking opportunities. Nutrishare participates in OLEY Consumer Conferences (annually in June) and collaborates on educational content for patients and caregivers. The Foundation is led by consumers and clinicians dedicated to enriching lives through education, advocacy, and community.
• ASPEN (American Society for Parenteral and Enteral Nutrition)coreStrategic or Co-development PartnerActive member and participant in ASPEN's annual Nutrition Science & Practice Conference. ASPEN is the leading professional society for clinicians and nutrition leaders dedicated to advancing evidence-based nutrition care. Nutrishare clinicians benefit from and contribute to ASPEN's professional development and research initiatives.
• National Home Infusion Association (NHIA)coreStrategic or Co-development PartnerMember of NHIA, the key industry association for home and specialty infusion. VP of Pharmacy Ryan Garst served 5 years as Senior Director of Clinical Services at NHIA and was named 2025 Class of Fellows of NHIA. Nutrishare participates in the annual NHIA conference for industry collaboration and advancement of patient care.
• Avery's HopeminorStrategic or Co-development PartnerCollaboration on Healing Arts Program - a summer series of free online Art and Yoga Therapy for patients, care partners, siblings, grandparents, friends and more. Nutrishare promotes this program to its patient community as part of holistic wellness support.

Scale indicators6 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• KabaFusion: Home and specialty infusion company providing TPN and IV therapies with clinical support, competing directly in the home nutrition-support space Nutrishare focuses on.
• Amerita (BrightSpring Health Services): National specialty home infusion pharmacy offering parenteral nutrition and IV therapies to patients at home, closely matching Nutrishare's core TPN delivery model.
• Soleo Health: Specialty infusion and pharmacy provider delivering parenteral nutrition and complex therapies in home and ambulatory settings, a direct comparable to Nutrishare's offering.
• Paragon Healthcare: Provider of infusion and injectable therapies including nutrition support delivered in home and infusion-center settings, overlapping with Nutrishare's TPN pharmacy services.

Emerging players

• Nufactor (FFF Enterprises): Specialty infusion pharmacy providing home IV therapies and clinical management; overlaps with Nutrishare on home infusion pharmacy operations though more focused on biologics.

Broad incumbents

• Coram (CVS Health): CVS Health's home infusion business that provides TPN and other infusion therapies; a direct category competitor whose consolidation prompted Nutrishare to acquire select Coram assets.
• Optum Infusion Pharmacy: UnitedHealth's home infusion arm delivering nutrition support and specialty infusion nationwide; competes with Nutrishare on TPN but as part of a broad payer-integrated platform.
• Option Care Health: The largest independent U.S. home and alternate-site infusion provider whose portfolio includes parenteral nutrition; directly overlaps with Nutrishare's home TPN service but at national scale across many therapies.

Regional players

• Vital Care Infusion Services: Franchise network of home infusion pharmacies providing TPN and IV therapies across regional markets, comparable in model but franchise/regionally structured.

Others

• InfuSystem / Ivenix home infusion peers: Infusion pump and delivery enablers (e.g., Moog partner ecosystem) that supply equipment used in home TPN; adjacent participants rather than direct service competitors.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCsv8v6O1Eu2KTrfZjH3K2mA
• Facebookfacebook.com/nutrishare
• LinkedInlinkedin.com/company/nutrishare-llc
• Instagraminstagram.com/nutrishare

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nutrishare