ICARE PHARMACY LLC (NPI# 1346586583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346586583 |
| Entity Type | Organization |
| Organization Name | ICARE PHARMACY LLC |
| Other Organization Name | ICARE COMMUNITY PHARMACY AND GIFTS LLC |
| Practice Address |
104 Darwin Cir Lafayette LA 70508-7110 |
| Mailing Address |
2807 Kaliste Saloom Rd Lafayette LA 70508-7141 |
| Practice Telephone | 3372961384 |
| Practice Fax Number | 3378893172 |
| Mailing Telephone | 3372961384 |
| Mailing Fax Number | 3378893172 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | DR. TERRY JAMES VEILLON JR. (OWNER/PIC) |
| Authorized Official Telephone | 3372961384 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335G00000X | Medical Foods Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| iCARE Community Pharmacy and Gifts LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871994210 | Icare Pharmacy LLC | Pharmacy | 9607 Conant St, Hamtramck, MI 48212-3304 | 2014-09-04 |
| 1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1265778401 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| Street Address |
104 DARWIN CIR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316276397 | Terry James Veillon Jr. | Pharmacist | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2009-12-21 |
| 1518203751 | Icare Clinical Consulting LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1184960320 | Icare Phamacy LLC | Durable Medical Equipment & Medical Supplies | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1265778401 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1447596879 | Icare Clinical Consulting LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 335G00000X |
| Grouping | Suppliers |
| Classification | Medical Foods Supplier |
| A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. |
| Notes: Source: The Children with Special Healthcare Needs (CSHCN) Services Program, a program of the Texas Department of State Health Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386105419 | Joyce G Williams | Medical Foods Supplier | 154 Williams Trl, Plain Dealing, LA 71064-4238 | 2019-03-29 |
| 1639694763 | The Jackson Group, LLC | Medical Foods Supplier | 3608 President Davis Dr, Baton Rouge, LA 70816-2947 | 2017-08-10 |
Please comment or provide details below to improve the information on ICARE PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.