NPIMap

Organization Active NPI

Innovativerx Gulf Coast Pharmacy Inc

  • Community/Retail Pharmacy
  • Naples, FL
National Provider Identifier
1821330150
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26491 Issued in FL
Legal business name
INNOVATIVERX GULF COAST PHARMACY INC
Doing business as
InnovativeRx Gulf Coast Pharmacy Inc
Practice address
1035 Collier Center Way Ste 2
Naples, FL 34110-8474
Phone
(239) 324-9619
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Alicia GazdaNPI 1831436989
Title
Director of Pharmacy
Phone
(239) 324-9619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26491 FL Primary

Addresses

Primary practice location

1035 Collier Center Way Ste 2
Naples, FL 34110-8474

Mailing address

1035 Collier Center Way
Suite 2
Naples, FL 34110-8474
Phone (239) 324-9619

Other identifiers 1

IdentifierTypeStateIssuer
5713892OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • InnovativeRx Gulf Coast Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovativerx Gulf Coast Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1821330150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 COLLIER CENTER WAY",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341108474",
            "telephone_number": "239-324-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 COLLIER CENTER WAY STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341108474",
            "telephone_number": "239-324-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVERX GULF COAST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GAZDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "239-324-9619"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovativeRx Gulf Coast Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.