INTEGRATED HEALTHCARE PHARMACY LLC


Address: 2400 Gordon Smith Dr, Mobile, AL 36617-2319
Phone: 2514501400

INTEGRATED HEALTHCARE PHARMACY LLC (NPI# 1942661335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942661335
Entity Type Organization
Organization Name INTEGRATED HEALTHCARE PHARMACY LLC
Other Organization Name INTEGRATED HEALTHCARE PHARMACY LLC
Practice Address 2400 Gordon Smith Dr
Mobile
AL 36617-2319
Mailing Address 4400 N Lincoln Blvd
Oklahoma City
OK 73105-5104
Practice Telephone 2514501400
Practice Fax Number 2514501399
Mailing Telephone 4054250464
Mailing Fax Number 4054244962
Enumeration Date 2016-03-11
Last Update Date 2016-05-09
Authorized Official Name VIRGIL TODD (MANAGING OFFICER)
Authorized Official Telephone 4054250464
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
114601 AL Suppliers
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2158698 01

Other Provider/Organization Names

Other Name Type Code
Integrated HealthCare Pharmacy LLC Doing Business As Name - Organization

Office Location

Street Address 2400 GORDON SMITH DR
City MOBILE
State AL
Zip Code 36617-2319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424172 Marianne Saitz Psychiatry & Neurology 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2005-08-10
1790310183 Deborah Anne Gleason Social Worker 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2020-03-06
1275179608 Joe Lynn Purvis Social Worker 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2019-11-20
1831656701 Kiwana Trechelle Brooks Nurse Practitioner 2400 Gordon Smith Dr, Mobile, AL 36617 2019-02-26
1245725902 Heather Malia Mcgaha Social Worker 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2018-06-26
1669827507 Mark Miele Counselor 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2016-04-28
1508230764 Jennifer Strickland Maxey Counselor 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2015-11-25
1194199976 John-david Sheffield Registered Nurse 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2015-11-17
1710359195 Janet Marla Langley Counselor 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2015-10-26
1538539218 Cynthia Kay Gipson Counselor 2400 Gordon Smith Dr, Mobile, AL 36617-2319 2015-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871118760 Travis Berry Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 2020-06-16
1164064978 Crystal Aerin Deweever Counselor 2400 Gordon Smith Dr., Mobile, AL 36617 2019-10-14
1871145938 Sagar Kumar Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 2019-07-09
1639630882 Sarah Anderson Student in an Organized Health Care Education/Training Program 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 2019-03-29
1215415120 Fnu Sameeta Student in an Organized Health Care Education/Training Program 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 2018-08-02
1659857670 Sara Roberta Avalos Hernandez Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 2018-07-12
1669978359 Colin Thomas Buckley Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 2018-04-02
1336644590 Shuo Shawn Liu Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 2018-03-28
1609308741 Kulwant Singh Bath Student in an Organized Health Care Education/Training Program 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 2017-03-29
1780115238 Lindsay Dianne Williams Student in an Organized Health Care Education/Training Program 2451 Fillingim St., Mst 709, Mobile, AL 36617 2017-03-27
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902220932 Medchoice Pharmacy Services, LLC Pharmacy 1 Southern Way, Mobile, AL 36619-1210 2014-02-11
1063846673 Pharmacy Services of Mobile LLC Pharmacy 747 Lakeside Dr, Mobile, AL 36693-5113 2013-08-30
1467793661 Mobile Pharmacy Services LLC Pharmacy 1116 I65 Commerce Dr, Mobile, AL 36606-2780 2013-03-13
1447496849 Northeast Pharmaceuticals Inc Pharmacy 3456 Hillcrest Rd, Bldg B Ste D, Mobile, AL 36695-3195 2009-01-06
1235311572 Oak Ridge Health Systems Inc Pharmacy 4180b Oak Ridge Ave, Mobile, AL 36619-1851 2007-11-28
1073539920 Cogburn Health Center Pharmacy Pharmacy 2651 Cameron St, Suite F, Mobile, AL 36607-3127 2006-07-14
1821478017 Genoa Healthcare, LLC Pharmacy 3456 Hillcrest Rd, Bldg B Ste D, Mobile, AL 36695-3195 2015-06-03
1760425565 Springhill Pharmacy LLC Pharmacy 3715 Dauphin St, 1e, Mobile, AL 36608-1771 2006-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760024947 Remedi Seniorcare of Alabama, LLC Pharmacy 4908 Moores Mill Rd Unit A, Huntsville, AL 35811-1512 2019-10-09
1821646894 Senior Care Pharmacy Inc Pharmacy 101b Villa Dr Ste B-260, Daphne, AL 36526-4653 2019-09-03
1477027720 Oms Pharmacy, Inc. Pharmacy 1800 Mcfarland Blvd E Ste 334, Tuscaloosa, AL 35404-5882 2019-01-18
1225418403 Genoa Healthcare, LLC Pharmacy 425 5th Ave Nw Rm 92, Attalla, AL 35954-2214 2015-06-03
1235519414 Genoa Healthcare, LLC Pharmacy 2201 Arlington Ave Ste B, Bessemer, AL 35020-4221 2015-06-03
1003296286 Genoa Healthcare, LLC Pharmacy 2520 Fairlane Dr Ste 300, Montgomery, AL 36116-1653 2015-06-03
1114359817 Integracare Pharmacy Inc. Pharmacy 199 Corporate Woods Dr, Alabaster, AL 35007-4844 2013-08-05
1649619222 Caredirect Rx of Jackson, LLC Pharmacy 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 2013-06-18
1457610859 Uc Acquisition Corp. Pharmacy 1119 Royal Tower Dr, Homewood, AL 35209-6822 2012-05-07
1548548555 Accurx, LLC Pharmacy 2649 Valleydale Rd, Hoover, AL 35244-2075 2011-07-25
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Competitor

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City MOBILE
Zip Code 36617

Improve Information

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Dataset Information

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.

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