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INTEGRICARE CLINICAL ASSOCIATES INC NPI 1992049928


NPI Information

NPI: 1992049928
Provider Name: INTEGRICARE CLINICAL ASSOCIATES INC

Doing Business As: INTEGRICARE RX

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 29D2241130

Address:
10605 DOUBLE R BLVD
RENO, NV
ZIP 89521
Phone: (775) 851-7788
Get Directions

INTEGRICARE CLINICAL ASSOCIATES INC is a long term care pharmacy pharmacy in Reno, NV. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. INTEGRICARE CLINICAL ASSOCIATES INC NPI is 1992049928. The provider is registered as an organization entity type.
The provider Is Doing Business As Integricare Rx.

The provider's business location address is:

10605 DOUBLE R BLVD
RENO, NV
ZIP 89521-920
Phone: (775) 851-7788
Fax: (775) 851-7787

The provider's authorized official is Jamie Shea .
The authorized official title is Owner/cfo and has the following contact phone number (775) 851-7788.

The CLIA number assigned to this NPI record is 29D2241130 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 7/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPHC02882NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12137771OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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