Actavis Group Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2015060995638 Issued in DE

Legal business name

ACTAVIS GROUP CORP

Practice address

536 Greenhill Ave
Wilmington, DE 19805-1851

Phone

(302) 660-7600

NPI assigned

Jul 16, 2015

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Okunev

Title

President

Phone

(302) 660-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1972987253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-660-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-660-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTAVIS GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "OKUNEV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-660-7600"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "DE",
            "license": "2015060995638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Multi-Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.