NPIMap

Organization Active NPI

I.V. Care, Inc.

  • Specialty Pharmacy
  • Holly Springs, MS
National Provider Identifier
1629276563
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
02246 02.6 Issued in MS
Legal business name
I.V. CARE, INC.
Practice address
530 J M Ash Dr
Holly Springs, MS 38635-3238
Phone
(662) 252-2446
Fax
(662) 252-4379
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Mr. Robert H Lomenick, RPH
Title
Owner
Phone
(662) 252-2446

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02246 02 6 MS
Community/Retail Pharmacy 3336C0003X 02246 02.6 MS
Specialty Pharmacy 3336S0011X 02246 02.6 MS Primary

Addresses

Primary practice location

530 J M Ash Dr
Holly Springs, MS 38635-3238

Mailing address

530 J M Ash Dr
Holly Springs, MS 38635-3238
Phone (662) 252-2446

Other identifiers 1

IdentifierTypeStateIssuer
00030246MedicaidMS

National Provider Directory

National Provider Directory

Locations

149 S Market St
Ste A
Holly Springs, MS 38635
Phone (662) 252-2446

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1629276563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-252-2446",
            "fax_number": "662-252-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-252-2446",
            "fax_number": "662-252-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.V. CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "LOMENICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-252-2446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "02246 02 6",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "02246 02.6",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "02246  02.6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030246",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.