ICPM, LLC (NPI# 1316021041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316021041 |
| Entity Type | Organization |
| Organization Name | ICPM, LLC |
| Other Organization Name | CHANDLER DRUGS |
| Practice Address |
914 7th St So Clanton AL 35046-1165 |
| Mailing Address |
Po Box 1165 914 7th St So Clanton AL 35046-1165 |
| Practice Telephone | 2057558009 |
| Practice Fax Number | 2057555250 |
| Mailing Telephone | 2057558009 |
| Mailing Fax Number | 2057555250 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | DARREN C MORTON (OWNER) |
| Authorized Official Telephone | 2057558009 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22795 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100001944 | 05 |
| Other Name | Type Code |
|---|---|
| Chandler Drugs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ICPM, LLC | P.o. Box 117, Noblesville, IN 46061 |
| Street Address |
914 7TH ST SO |
| City | CLANTON |
| State | AL |
| Zip Code | 35046-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270336 | Rachel Rebecca Graves | Counselor | 2100 Holiday Inn Dr, Clanton, AL 35046-6200 | 2017-04-27 |
| 1346871449 | Rachel Rebecca Mckinnon | Clinic/Center | 2100 Holiday Inn Dr, Clanton, AL 35046-6200 | 2020-01-28 |
| 1710525183 | Chilton County Treatment Center | Community/Behavioral Health | 2100 Holiday Inn Dr, Clanton, AL 35046-6200 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645809 | Neighborhood Cpap Clanton | Durable Medical Equipment & Medical Supplies | 702 Logan Rd, Clanton, AL 35045-9208 | 2020-06-29 |
| 1700429164 | Claudia C. Gore | Registered Nurse | 402 Friendship Rd, Clanton, AL 35045-2019 | 2019-10-17 |
| 1568933455 | Restore Therapy Services, Ltd | Physical Therapist | 308 Park Plz, Clanton, AL 35045-2844 | 2018-12-17 |
| 1164912630 | Mesha Cain | Counselor | 808 Lay Dam Road, Clanton, AL 35045 | 2018-05-10 |
| 1720577562 | Erin Ellis Davis | Nurse Practitioner | 107 Medical Center Drive, Clanton, AL 35045 | 2018-05-07 |
| 1518481050 | Jennifer Michelle Hobbs | Nurse Practitioner | 206 Hoyt Brownie Rd, Clanton, AL 35045-2214 | 2017-07-26 |
| 1861929663 | David Michael Powell | Social Worker | 78 Park Dr S, Clanton, AL 35045-3938 | 2017-05-11 |
| 1396270336 | Rachel Rebecca Graves | Counselor | 2100 Holiday Inn Dr, Clanton, AL 35046-6200 | 2017-04-27 |
| 1952797847 | Jared Hood | Counselor | 808 Lay Dam Rd, Clanton, AL 35045-2943 | 2015-04-08 |
| 1912392606 | William Seth Edwards | Pharmacist | 1601 Trilliam Ln, Clanton, AL 35045-8758 | 2015-03-31 |
| Find all providers in CLANTON | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912392606 | William Seth Edwards | Pharmacist | 1601 Trilliam Ln, Clanton, AL 35045-8758 | 2015-03-31 |
| 1912205857 | Brenda Liles Conradi | Pharmacist | 641 Ollie Ave, Clanton, AL 35045-2236 | 2011-03-01 |
| 1902985146 | Catrina G. Benson | Pharmacist | 640 Ollie Ave., Clanton, AL 35045 | 2006-11-06 |
| 1770013104 | Lisa Bates Downing | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-18 |
| 1841729654 | Kimberly Fridy | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-06 |
| 1518496439 | Heath Hogge | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
| 1184153058 | Katie Rebecca Fussell | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
| 1093013583 | Hobson Lewis Curry Jr. | Pharmacist | 641 Ollie Ave, Clanton, AL 35045-2236 | 2011-03-07 |
| 1902111529 | Stephen Henderson | Pharmacist | 1010 Lay Dam Rd, Clanton, AL 35045-2306 | 2010-08-09 |
| 1922262914 | Brenna Elaine Wilson | Pharmacist | 640 Ollie Ave, Clanton, AL 35045-2238 | 2008-07-18 |
| Find all providers in CLANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.