Ika3 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IKA3 LLC

Practice address

2532 Oakland Blvd
Fort Worth, TX 76103-3235

Phone

(817) 945-5405

Fax

(817) 945-5554

NPI assigned

Mar 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohit Keshubhai Dholaria, PHARMDNPI 1881299170

Title

Vice President

Phone

(817) 945-5405

Specialties & licenses 1

Addresses

Other names 1

• LANCASTER SPECIALTY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Ika3 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ika3 LLC

  • Long Term Care Pharmacy
  • Fort Worth, TX
  • NPI 1609605310
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohit Keshubhai Dholaria, PHARMD

  • Pharmacist
  • Fort Worth, TX
  • NPI 1881299170
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1063113231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033235",
            "telephone_number": "817-945-5405",
            "fax_number": "817-945-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKA3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "DHOLARIA",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_middle_name": "KESHUBHAI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-945-5405",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANCASTER SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LANCASTER SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Omoregie Igori, RN
• Susan Kamarachukwume Ihekweme
• IHS Hospice LLC
• Demvihin Udokanma Ihyembe, M.D
• Martins Ijeoma, RN
• Ika3 LLC
• Misty Ikerd, PA-C
• Ikids Childrens Dentistry PLLC Randolph Wade Hamilton III Sole MBR
• Ikids Pediatric Care PLLC
• Ikids Pediatric Dentistry and Orthodontics NFW

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.