Icarerx Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ICARERX PHARMACY LLC

Practice address

200 WJ Boaz Rd Ste 100
Saginaw, TX 76179-1290

Phone

(682) 200-1080

Fax

(682) 708-3752

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Sravanthi Venna

Title

Owner

Phone

(682) 200-1080

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Saginaw Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1922579127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAIN ST, STE A",
            "city": "LINDSAY",
            "state": "TX",
            "postal_code": "76250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WJ BOAZ RD STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791290",
            "telephone_number": "682-200-1080",
            "fax_number": "682-708-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARERX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "VENNA",
        "authorized_official_first_name": "SRAVANTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-200-1080"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "32381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saginaw Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary M Holstein, LOT
• Kayla Nicole Holubek, MSAT, ATC, LAT
• Christina Raines Hopkins
• Tanner Scott Hutchinson, DDS
• Christina Phuc Huynh, DDS
• Whitney Uchenna Ikemba, DPT
• Steven Douglas Irwin, D.MIN., LPC-S, BCC
• Jason T Redler DC, Ryan Robinson DC, PLLC
• Jason T. Redler, D.C., P.a.
• Marie Jeng

• Community/Retail Pharmacy in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.