Icrx Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114453 Issued in AL

Legal business name

ICRX INC

Practice address

301 Governors Dr SW
Huntsville, AL 35801-5123

Phone

(256) 534-4533

Fax

(256) 534-1208

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Christina Macintosh, RPH

Title

Vice President/Pic/Ao

Phone

(256) 534-4533

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Health Center Pharmacy Doing business as

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1487052411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-534-4533",
            "fax_number": "256-534-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-534-4533",
            "fax_number": "256-534-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MACINTOSH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "VICE PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "256-534-4533",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169709",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Hyatt, DPT
• Jason Daniel Hyche, NURSE PRACTITIONER
• I Dare You to Heal, LLC
• Olga Lizbeth Ibanez
• Farrah Ibrahim J. Al-Tureihi, MD
• Gwenda Iffrig
• Ngozi Chinedu Ihediwa
• Joann Ikard, CRNP
• Stacy Ikard, PH.D.
• Im Clinic LLC

• All providers in Huntsville, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.