Icon Health Science

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

D0067749 Issued in MD

Legal business name

ICON HEALTH SCIENCE

Practice address

40 Richards Ave
3Rd Floor
Norwalk, CT 06854-2319

Phone

(800) 243-8370

Fax

(888) 374-0626

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ikechukwu (Ikay) Kanayo Enu, M.D.

Title

Medical Director

Phone

(617) 905-4430

Specialties & licenses 3

Addresses

Other names 1

• BODY AND PAIN Doing business as

Locations

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1710428131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RICHARDS AVE",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542319",
            "telephone_number": "800-243-8370",
            "fax_number": "888-374-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 RICHARDS AVE",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542319",
            "telephone_number": "800-243-8370",
            "fax_number": "888-374-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON HEALTH SCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ENU",
        "authorized_official_first_name": "IKECHUKWU (IKAY)",
        "authorized_official_middle_name": "KANAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-905-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "D0067749",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MD",
            "license": "D0067749",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "D0067749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODY AND PAIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Iacovacci, LCSW
• Jennifer Iasillo, M.S., CCC-SLP
• Ikechukwu Gregory Ibe
• Ibez Corp
• Abdul Ibrahim
• Icon Health Services, LLC
• Catherine Murray Igel, M.D.
• Elizabeth Ikle, LCSW
• Danette Riso Illig, D.M.D.
• Illume Fertility, PLLC

• Mail Order Pharmacy in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Mail Order Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.