Active NPI
Intergrated Pharmceutical Solutions LLC
- Specialty Pharmacy
- Bartow, FL
National Provider Identifier
1750148375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- INTERGRATED PHARMCEUTICAL SOLUTIONS LLC
- Practice address
- 1478 N Wilson Ave
Bartow, FL 33830-3373 - Phone
- (863) 537-6694
- Fax
- (863) 537-6579
- NPI assigned
- Feb 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enoch A Ofosu, PHARM. D
- Title
- MGR
- Phone
- (863) 537-6694
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X | 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
National Provider Directory
National Provider Directory- Tax ID family
- Bartow Pharmacy Medical Supply
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Bartow, FL
- NPI 1013296649
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bartow, FL
- NPI 1609691039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1750148375",
"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 PHARMCEUTICAL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-29",
"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": "MGR",
"authorized_official_telephone_number": "863-537-6694",
"authorized_official_credential": "PHARM. D"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Geriatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.