Integricare Clinical Associates Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHC02882 Issued in NV

Legal business name

INTEGRICARE CLINICAL ASSOCIATES INC

Practice address

10605 Double R Blvd
Reno, NV 89521-8920

Phone

(775) 851-7788

Fax

(775) 851-7787

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Jamie Shea

Title

Owner/Cfo

Phone

(775) 851-7788

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IntegriCare Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Gerald Tracy Grow, PHARMD

  • Pharmacist
  • Reno, NV
  • NPI 1003795428
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1992049928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17448",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117448",
            "telephone_number": "775-851-7788",
            "fax_number": "775-851-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218920",
            "telephone_number": "775-851-7788",
            "fax_number": "775-851-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRICARE CLINICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "775-851-7788"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NV",
            "license": "PHC02882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegriCare Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Reno, NV
• Providers in Reno, NV by specialty
• Long Term Care Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.