Innovativerx Gulf Coast Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH26348 Issued in FL

Legal business name

INNOVATIVERX GULF COAST PHARMACY INC

Doing business as

InnovativeRx Gulf Coast Pharmacy Inc

Practice address

1035 Collier Center Way Ste 2
Naples, FL 34110-8474

Phone

(239) 324-9619

Fax

(239) 280-1226

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

David Macneal

Title

President

Phone

(727) 631-9140

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• InnovativeRx Gulf Coast Pharmacy Inc Doing business as

Tax ID family

Innovativerx Gulf Coast Pharmacy Inc2 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.

• Innovativerx Gulf Coast Pharmacy Inc

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1821330150
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Gazda

  • Pharmacist
  • Naples, FL
  • NPI 1831436989
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1427307461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 118TH AVE",
            "address_2": "SUITE 605",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735053",
            "telephone_number": "239-324-9619",
            "fax_number": "239-280-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 COLLIER CENTER WAY STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341108474",
            "telephone_number": "239-324-9619",
            "fax_number": "239-280-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVERX GULF COAST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "MACNEAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-631-9140"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH26348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovativeRx Gulf Coast Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovation ABA LLC
• Innovation Medical Associates, PA
• Innovative Healthcare Group LLC
• Innovative Infusions, LLC
• Innovative Medical Imaging-Naples LLC
• Innovativerx Gulf Coast Pharmacy Inc
• Inova Care Solutions LLC
• Inova Healthcare Services LLC
• Insightful Counseling Group
• Inspire Exercise Medicine LLC

• Long Term Care Pharmacy in Naples, FL
• Providers in Naples, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.