Integrative Pharmacy Solutions, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53835 Issued in CA

Legal business name

INTEGRATIVE PHARMACY SOLUTIONS, INC

Doing business as

King's Pharmacy and Compounding Center

Practice address

16205 Sand Canyon Ave
Suite 105
Irvine, CA 92618-3781

Phone

(949) 387-0780

Fax

(949) 387-0784

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Rani DibbiniNPI 1972793776

Title

VP, Pic, Ao

Phone

(818) 970-4987

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• King's Pharmacy and Compounding Center Doing business as

Locations

Practitioners 1

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

• Rani Dibbini, PHARM.D.

  • Pharmacist
  • San Diego, CA
  • NPI 1972793776
  NPD Authorized official

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1972968204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 SAND CANYON AVE",
            "address_2": "SUITE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183781",
            "telephone_number": "949-387-0780",
            "fax_number": "949-387-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 SAND CANYON AVE",
            "address_2": "SUITE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183781",
            "telephone_number": "949-387-0780",
            "fax_number": "949-387-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHARMACY SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "DIBBINI",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "VP, PIC, AO",
        "authorized_official_telephone_number": "818-970-4987"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53835",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Pharmacy and Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.