Integra Network Corp

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PH24183 Issued in FL

Legal business name

INTEGRA NETWORK CORP

Practice address

2661 W Atlantic Blvd
Pompano Beach, FL 33069-2507

Phone

(954) 917-6813

Fax

(954) 917-6814

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Zarinah Hargrove

Title

President

Phone

(954) 917-6813

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Integra Rx Doing business as

Tax ID family

Integra Network Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integra Network Corp

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1528299120
  NPD tax ID

Locations

Practitioners 1

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

• Lisa Crawford

  • Pharmacist
  • Pompano Beach, FL
  • NPI 1821229428
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1629525530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692507",
            "telephone_number": "954-917-6813",
            "fax_number": "954-917-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692507",
            "telephone_number": "954-917-6813",
            "fax_number": "954-917-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "ZARINAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-917-6813"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH24183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001560800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovative Labs of SFL
• Natalia Inshakova
• Institute for Collegiate Sports Medicine
• Institute for Family Centered Services
• Integra Network Corp
• Integral Primary Care Inc.
• Integrated Dermatology of Pompano Beach LLC
• Integrated Medical Supply LLC
• Integrative Health Practice LLC
• Integrity Home Care Service LLC

• Mail Order Pharmacy in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.