Icotadai Inc

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

License

64211071704 Issued in UT

Legal business name

ICOTADAI INC

Doing business as

Zion Apothecary

Practice address

2332 W 12600 S
Ste C
Riverton, UT 84065-7161

Phone

(801) 253-6778

Fax

(801) 253-6779

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Neal Catalano

Title

President

Phone

(801) 253-6778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ZION APOTHECARY Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366586430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S",
            "address_2": "STE C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S",
            "address_2": "STE C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657161",
            "telephone_number": "801-253-6778",
            "fax_number": "801-253-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICOTADAI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATALANO",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-253-6778"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "UT",
            "license": "64211071704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4610754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZION APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Riverton, UT
• Providers in Riverton, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.