Integrated Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30707 Issued in TX

Legal business name

INTEGRATED PHARMACY, LLC

Doing business as

Integrated Pharmacy

Practice address

516 Denver St
Suite 200
Wichita Falls, TX 76301-2110

Phone

(866) 499-1138

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Kurt Belluomini

Title

Director of Finance

Phone

(559) 476-8000

Specialties & licenses 2

Addresses

Other names 1

• Integrated Pharmacy Doing business as

Tax ID family

Integrated Pharmacy2 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.

• Integrated Pharmacy, LLC

  • Community/Retail Pharmacy
  • Plano, TX
  • NPI 1205584059
  NPD tax ID

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1285095497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 N PALM AVE",
            "address_2": "SUITE 400",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115530",
            "telephone_number": "559-476-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DENVER ST",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012110",
            "telephone_number": "866-499-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "BELLUOMINI",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "559-476-8000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30707",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "30707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sidra Iqbal
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• Community/Retail Pharmacy in Wichita Falls, TX
• Providers in Wichita Falls, 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 Mar 15, 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.