Organization Active NPI

Integrative Care Services, LLC

  • Pharmacist
  • Lawrenceville, GA
National Provider Identifier
1538404538
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH026848 Issued in GA
Legal business name
INTEGRATIVE CARE SERVICES, LLC
Practice address
417 Sancho Dr
Lawrenceville, GA 30044-3888
Phone
(865) 256-3600
NPI assigned
Dec 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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

Authorized official

Name
Melissa Robinson, PHARMDNPI 1518211085
Title
Pharmacist Owner
Phone
(865) 256-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RPH026848 GA Primary
Home Health Agency 251E00000X RPH026848 GA

Addresses

Primary practice location

417 Sancho Dr
Lawrenceville, GA 30044-3888

Mailing address

417 Sancho Dr
Lawrenceville, GA 30044-3888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354320000000",
    "number": "1538404538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SANCHO DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SANCHO DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443888",
            "telephone_number": "865-256-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "865-256-3600",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026848",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "RPH026848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.