Integratiavecare Vadnais Heights LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

262061-1 Issued in MN

Legal business name

INTEGRATIAVECARE VADNAIS HEIGHTS LLC

Practice address

5 East County Road B
Suite #2
Little Canada, MN 55117

Phone

(651) 489-2711

Fax

(651) 287-1004

NPI assigned

Sep 25, 2007

Last updated

May 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dee Ryan, RPHNPI 1073700910

Title

President

Phone

(651) 489-2711

Specialties & licenses 1

Addresses

Other names 1

• IntegrativeCare Natural Pharmacy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dee Ryan, RPH

  • Pharmacist
  • Little Canada, MN
  • NPI 1073700910
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1508052424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAST COUNTY ROAD B",
            "address_2": "SUITE #2",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-489-2711",
            "fax_number": "651-287-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EAST COUNTY ROAD B",
            "address_2": "SUITE #2",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-489-2711",
            "fax_number": "651-287-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIAVECARE VADNAIS HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-489-2711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "262061-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegrativeCare Natural Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Compounding Pharmacy in Little Canada, MN
• Providers in Little Canada, MN by specialty
• Compounding Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.