Incomm Healthcare & Affinity, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

INCOMM HEALTHCARE & AFFINITY, INC.

Practice address

250 Williams St NW FL 5
Atlanta, GA 30303-1032

Phone

(678) 262-4680

Fax

(650) 733-0467

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Stephen Eugene Manthey

Title

Cfo

Phone

(678) 262-4680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1174295372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WILLIAMS ST NW FL 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031032",
            "telephone_number": "678-262-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WILLIAMS ST NW FL 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031032",
            "telephone_number": "678-262-4680",
            "fax_number": "650-733-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCOMM HEALTHCARE & AFFINITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MANTHEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-262-4680"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.