Organization Active NPI

Integricare Pharmacy LLC

  • Community/Retail Pharmacy
  • Allen, TX
National Provider Identifier
1972147791
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INTEGRICARE PHARMACY LLC
Practice address
1505 W McDermott Dr Ste 125
Allen, TX 75013-3029
Phone
(972) 212-9368
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Mrs. Bich Pham, PHARMDNPI 1699002733
Title
President
Phone
(972) 212-9368

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 Primary

Addresses

Primary practice location

1505 W McDermott Dr Ste 125
Allen, TX 75013-3029

Mailing address

1505 W McDermott Dr Ste 125
Allen, TX 75013-3029

Other practice location 1

1505 W McDermott Dr Ste 125
Allen, TX 75013-3029
Phone (972) 212-9368

Other names 1

  • INTEGRICARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220223001609 TX Part B Supplier - Independent Clinical Laboratory 9739595299 Practice locations: Allen, TX
O20220912001691 TX Part B Supplier - Pharmacy 2264817261 Practice locations: Allen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2241557Integricare Pharmacy1505 W McDermott Dr Suite 125, Allen, TX 75013Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

1505 W McDermott Dr
Ste 125
Allen, TX 75013
Phone (972) 212-9368

Practitioners & affiliated clinicians

Practitioners 2

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": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1972147791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W MCDERMOTT DR STE 125",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W MCDERMOTT DR STE 125",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133029",
            "telephone_number": "972-212-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W McDermott Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133029",
            "country_code": "US",
            "telephone_number": "972-212-9368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-212-9368",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.