1790021947 NPI number — INSTITUTIONAL PHARMACY SOLUTIONS, INC.

Table of content: (NPI 1790021947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790021947 NPI number — INSTITUTIONAL PHARMACY SOLUTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSTITUTIONAL PHARMACY SOLUTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
INSTITUTIONAL PHARMACY SOLUTIONS, INC.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790021947
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
INSTITUTIONAL PHARMACY SOLUTIONS. INC.
Provider Second Line Business Mailing Address:
2000 INTERSTATE PARK DRIVE SUITE 100
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-819-4511
Provider Business Mailing Address Fax Number:
334-819-4520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7625 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43016-9649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-717-1800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GREEN
Authorized Official First Name:
JANUARY
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OPERATIONS
Authorized Official Telephone Number:
334-819-4511

Provider Taxonomy Codes

  • Taxonomy code: 3336I0012X , with the licence number:  022242300 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3680748 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com