ICU Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04838 Issued in MD

Legal business name

ICU INC

Doing business as

Prime Care Pharmacy

Practice address

5500 Sinclair LN
Suite C
Baltimore, MD 21206-4605

Phone

(443) 453-9963

Fax

(443) 453-9965

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Uchechukwu Igwilo, BACHELOR OF PHA

Title

Vice President

Phone

(410) 804-8227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1861646366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SINCLAIR LN",
            "address_2": "SUITE C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064605",
            "telephone_number": "443-453-9963",
            "fax_number": "443-453-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SINCLAIR LN",
            "address_2": "SUITE C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064605",
            "telephone_number": "443-453-9963",
            "fax_number": "443-453-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "IGWILO",
        "authorized_official_first_name": "UCHECHUKWU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-804-8227",
        "authorized_official_credential": "BACHELOR OF PHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.