Ikare Pharmacy SW LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

32078 Issued in TX

Legal business name

IKARE PHARMACY SW LLC

Practice address

8401 Datapoint Dr Ste 100
San Antonio, TX 78229-5382

Phone

(844) 866-0101

Fax

(844) 866-0101

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Ravindra Shah

Title

Officer

Phone

(844) 855-0101

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IKARE PHARMACY SW Doing business as

Locations

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1063905545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295382",
            "telephone_number": "844-866-0101",
            "fax_number": "844-866-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295382",
            "telephone_number": "844-866-0101",
            "fax_number": "844-866-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKARE PHARMACY SW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "844-855-0101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "32078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2178049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IKARE PHARMACY SW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ijna Home Health Services LLC
• Ijna Home Health Services LLC
• Ijna Nursing Services
• Mary Ikamba
• Ikare Mood Trauma Recovery Clinic
• Agatha Ike
• Princess C Ike, PHARM.D.
• Daniel C Ikejimba, LPC-A
• Andrea K Iken Tennison, MD
• Robert Paul Ikerd, M.D.

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, 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 Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.