Innovative RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9762264-1703 Issued in UT

Legal business name

INNOVATIVE RX LLC

Doing business as

Innovative Rx LLC

Practice address

12176 S 1000 E
Ste 2
Draper, UT 84020-9734

Phone

(801) 355-5176

Fax

(801) 606-7358

NPI assigned

Sep 11, 2013

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelee Dean

Title

Managing Member

Phone

(801) 355-5176

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Rx LLC Doing business as

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1225463169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E",
            "address_2": "STE 2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209734",
            "telephone_number": "801-355-5176",
            "fax_number": "801-606-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E",
            "address_2": "STE 2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209734",
            "telephone_number": "801-355-5176",
            "fax_number": "801-606-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ANGELEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-355-5176"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9762264-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Motion Physical Therapy LLC
• Michael Infantino, DPT
• Inner Healing Therapy and Consulting
• Inner Peace Counseling of Utah (Inner Peace)
• Haylie Innes
• Blake R Inouye, M.ED, BCBA
• Daniel Inouye
• Insaneability
• Insight Counseling Group (Molly Tagge)
• Instant Ortho Supply, LLC

• Community/Retail Pharmacy in Draper, UT
• Providers in Draper, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.