Icp2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00760400 Issued in NJ

Legal business name

ICP2 LLC

Practice address

661Main Street
Paterson, NJ 07503

Phone

(973) 307-9000

Fax

(973) 754-0044

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Samir TammousNPI 1548583966

Title

Owner

Phone

(973) 809-2820

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Samir Tammous

  • Pharmacist
  • Totowa, NJ
  • NPI 1548583966
  NPD Authorized official
• Annamaria Janka

  • Pharmacist
  • Paterson, NJ
  • NPI 1083040976
  NPD
• Francesca Bivona, PHARMD

  • Pharmacist
  • Nutley, NJ
  • NPI 1922639624
  NPD (past)
• Nourhan Shaltout

  • Pharmacist
  • Paterson, NJ
  • NPI 1013525419
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1740780980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-307-9000",
            "fax_number": "973-754-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-307-9000",
            "fax_number": "973-754-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICP2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "TAMMOUS",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-809-2820"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00760400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Mahmood Huzien, MD
• Eric Hwang, D.O.
• Intisar Ibrahim, DNP, FNP, PMHNP-BC
• Icare Pharmacy Plus LLC
• Icare Pharmacy Plus LLC
• Ifeoma Ezekwo, M.D.
• Yasmine Safia Ikram
• Doris Ilic
• Imaging Subspecialists of North Jersey, LLC
• Imedix Transportation Inc

• All providers in Paterson, NJ
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.