NPIMap

Organization Active NPI

Intergrated Pharmaceutical Solutions LLC

Doing business as Bartow Pharmacy & Medical Supply

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bartow, FL
National Provider Identifier
1609691039
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
Legal business name
INTERGRATED PHARMACEUTICAL SOLUTIONS LLC
Doing business as
Bartow Pharmacy & Medical Supply
Bartow Pharmacy & Medical Supply LLC
Practice address
1478 N Wilson Ave
Bartow, FL 33830-3373
Phone
(863) 537-6694
Fax
(863) 537-6579
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Enoch A Ofosu, MD, PHARM.DNPI 1720657893
Title
Pharmacy MGR
Phone
(863) 537-6694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X Primary

Addresses

Primary practice location

1478 N Wilson Ave
Bartow, FL 33830-3373

Mailing address

PO Box 46216
Tampa, FL 33646-0102
Phone (863) 537-6694

Other names 2

  • BARTOW PHARMACY & MEDICAL SUPPLY Doing business as
  • BARTOW PHARMACY & MEDICAL SUPPLY LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bartow Pharmacy Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1609691039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46216",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460102",
            "telephone_number": "863-537-6694",
            "fax_number": "863-537-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 N WILSON AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303373",
            "telephone_number": "863-537-6694",
            "fax_number": "863-537-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRATED PHARMACEUTICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "OFOSU",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MGR",
        "authorized_official_telephone_number": "863-537-6694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,  PHARM.D"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTOW PHARMACY & MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BARTOW PHARMACY & MEDICAL SUPPLY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.