INTEGRATIAVECARE VADNAIS HEIGHTS LLC – NPI #1508052424
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Health Care Provider Taxonomy Code for Pharmacy

INTEGRATIAVECARE VADNAIS HEIGHTS LLC is a pharmacy located in LITTLE CANADA, MN. NPPES has assigned the NPI number 1508052424 to INTEGRATIAVECARE VADNAIS HEIGHTS LLC on September 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. INTEGRATIAVECARE VADNAIS HEIGHTS LLC is also known by the name INTEGRATIVECARE NATURAL PHARMACY. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 14 years ago on May 31, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATIAVECARE VADNAIS HEIGHTS LLC below.

NPI Profile for
INTEGRATIAVECARE VADNAIS HEIGHTS LLC

NPI Number
1508052424
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATIAVECARE VADNAIS HEIGHTS LLC
Other Name: INTEGRATIVECARE NATURAL PHARMACY
Primary location
5 EAST COUNTY ROAD B
SUITE #2
LITTLE CANADA, MN 55117
Phone: (651) 489-2711 Fax: (651) 287-1004
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEE RYAN
PRESIDENT
Phone: (651) 489-2711
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)		 MN 262061-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.