Icon Pharmaceuticals Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH21554 Issued in FL

Legal business name

ICON PHARMACEUTICALS INC

Doing business as

Icon Pharmacy

Practice address

300 E Church St
Orlando, FL 32801-3544

Phone

(407) 649-8050

Fax

(407) 649-8051

NPI assigned

Sep 11, 2006

Last updated

Nov 7, 2014By 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

Alicia Labreque

Title

Assoc Exec

Phone

(407) 872-7088

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ICON PHARMACY Doing business as

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1578667689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E CHURCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013544",
            "telephone_number": "407-649-8050",
            "fax_number": "407-649-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CHURCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013544",
            "telephone_number": "407-649-8050",
            "fax_number": "407-649-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "LABREQUE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ASSOC EXEC",
        "authorized_official_telephone_number": "407-872-7088"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH21554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Orlando, FL
• Providers in Orlando, 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 7, 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.