INTEGRA NETWORK CORP (NPI# 1528299120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528299120 |
| Entity Type | Organization |
| Organization Name | INTEGRA NETWORK CORP |
| Other Organization Name | INTEGRA RX |
| Practice Address |
2661 W Atlantic Blvd Pompano Beach FL 33069-2507 |
| Practice Telephone | 9549176813 |
| Practice Fax Number | 9549176814 |
| Mailing Telephone | 9549176813 |
| Mailing Fax Number | 9549176814 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | ERIC ANTONIO (PRESIDENT) |
| Authorized Official Telephone | 9549176813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24183 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001560800 | 05 | |
| PK | 2121287 | 01 |
| Other Name | Type Code |
|---|---|
| Integra Rx | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525530 | Integra Network Corp | Pharmacy | 2661 W Atlantic Blvd, Pompano Beach, FL 33069-2507 | 2016-09-08 |
| Street Address |
2661 W ATLANTIC BLVD |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33069-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821229428 | Lisa Crawford | Pharmacist | 2661 W Atlantic Blvd, Pompano Beach, FL 33069-2507 | 2009-07-30 |
| 1629525530 | Integra Network Corp | Pharmacy | 2661 W Atlantic Blvd, Pompano Beach, FL 33069-2507 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1427619253 | Julio Salas | Dentist | Bcfhc Dental Office, 162 North Powerline Road, Pompano Beach, FL 33069 | 2019-06-24 |
| 1104327758 | Otanys Garcia Hernandez | Behavior Technician | 3433 Sands Habor Trace, Pompano Beach, FL 33069 | 2018-02-27 |
| 1497271209 | Angel A Martinez | Nursing Care | 3235 Nw 2nd St, Unit 104, Pompano Beach, FL 33069 | 2017-08-15 |
| 1134666274 | Michele Nadine Innocent | Nurse Practitioner | 2031 Nw 6th Court, Pompano Beach, FL 33069 | 2017-01-27 |
| 1942743554 | Certified Spine and Pain Care | Pain Medicine | 150 Sw 12th Ave Ste 101a, Pompano Beach, FL 33069 | 2016-11-30 |
| 1245691641 | Patrick Arends | Registered Nurse | 2500 Nw Manor, Pompano Beach, FL 33069 | 2016-03-11 |
| 1962862011 | Ashley Minkus | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-03-02 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| 1588949382 | Gary Wayne Foulk | Pharmacist | 2401 W Atlantic Blvd, Pompano Beach, FL 33069 | 2011-10-13 |
| Find all providers in zip 33069 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548496 | Generic Pharmacy Inc | Pharmacy | 922 E Sample Rd, Pompano Beach, FL 33064-5131 | 2016-02-23 |
| 1255683306 | Infiniti Pharmacy and Infusion Services Inc | Pharmacy | 1338 N Federal Hwy, Pompano Beach, FL 33062-3730 | 2012-10-12 |
| 1568733228 | Briton Pharmacy Inc | Pharmacy | 1201 S Ocean Blvd Ste 14, Pompano Beach, FL 33062-6600 | 2012-01-25 |
| 1477823474 | Palm Medicine Inc | Pharmacy | 2711 E Atlantic Blvd, Pompano Beach, FL 33062-4941 | 2012-01-06 |
| 1467732289 | Thrift Pharmacy Inc. | Pharmacy | 94 E Mcnab Rd, Pompano Beach, FL 33060 | 2011-08-24 |
| 1578842738 | Meds Rx | Pharmacy | 750 E Sample Rd Bldg 3, Pompano Beach, FL 33064-5144 | 2011-08-05 |
| 1417251786 | Federal Discount Pharmacy Inc | Pharmacy | 229 S Federal Hwy, Pompano Beach, FL 33062-5322 | 2010-12-30 |
| 1093032823 | Sample Square Pharmacy | Pharmacy | 428 E Sample Rd, Pompano Beach, FL 33064-4424 | 2010-05-04 |
| 1154507564 | Chem Rx of Boca Raton LLC | Pharmacy | 5001 Nw 13th Ave, Ste H and I, Pompano Beach, FL 33064-8649 | 2008-01-16 |
| 1871677518 | Guardian Pharmacy of Pompano Beach, LLC | Pharmacy | 2301 Nw 33rd Ct, Suite 111, Pompano Beach, FL 33069-1000 | 2006-10-25 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33069 |
Please comment or provide details below to improve the information on INTEGRA NETWORK CORP.
| 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.