Innovations LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

ME59117 Issued in FL

Legal business name

INNOVATIONS LLC

Practice address

3411 B Capital Medical Blvd
Tallahassee, FL 32308

Phone

(850) 201-0926

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Lonnie Draper, MD

Title

Ceo

Phone

(850) 201-0926

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• AVOCARE Doing business as

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1801937537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 B CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-201-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 B CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-201-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-201-0926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "ME59117",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1024683",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051720800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVOCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc John Inglese, M.D.
• Jahquan Ingram, FNP-C
• Amanda Ingrassia
• Andrew Ingrassia
• Injury and Rehab Centers of North Florida, LLC
• Innovative a.C.T.S LLC
• Innovative Rehab Care Inc
• Inspire Group Homes LLC
• Inspire Group, Inc.
• Integra Recoveries

• Community/Retail Pharmacy in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.