Integrated Care Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

054018100 Issued in IL

Legal business name

INTEGRATED CARE PHARMACY

Practice address

222 Stone CT
New Lenox, IL 60451-1598

Phone

(224) 360-6100

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Anthony Panici

Title

Pharmacist in Charge

Phone

(224) 360-6100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Integrated Care Pharmacy Doing business as

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1306184031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STONE COURT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "224-360-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STONE CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511598",
            "telephone_number": "224-360-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "PANICI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "224-360-6100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018100",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": "054018100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Independent Medical Group SC
• Inspire Behavioral Therapy
• Integrated Physical Medicine, LLC
• Julie M Jachimek, PT
• James W Jackson, M.S., BCBA
• Jaclyn Kamradt PHD, P.C.
• Jacquelyn E Augustine Psy.D PC

• Compounding Pharmacy in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Compounding Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.