Integracare Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

113037 Issued in AL

Legal business name

INTEGRACARE PHARMACY INC.

Practice address

199 Corporate Woods Dr
Alabaster, AL 35007-4844

Phone

(205) 406-0093

Fax

(888) 583-4951

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Christopher Schmidt

Title

President/Ceo

Phone

(334) 273-9002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integracare Pharmacy Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1114359817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CORPORATE WOODS DR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350074844",
            "telephone_number": "205-406-0093",
            "fax_number": "888-583-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CORPORATE WOODS DR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350074844",
            "telephone_number": "205-406-0093",
            "fax_number": "888-583-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRACARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "334-273-9002"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "113037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integracare Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory L. Horn, DMD
• Caleb Hoyt, LICSW
• Candace Hughes
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• Jessica D Ingram, CRNP
• Christopher Dean Jahraus, MD
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• Carol M. Johnson, M.D.
• Holly Beth Johnson, M.D.
• Kendra Nicole Johnson, ALC

• Long Term Care Pharmacy in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.