INTEGRATIAVECARE VADNAIS HEIGHTS LLC (NPI# 1508052424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508052424 |
| Entity Type | Organization |
| Organization Name | INTEGRATIAVECARE VADNAIS HEIGHTS LLC |
| Other Organization Name | INTEGRATIVECARE NATURAL PHARMACY |
| Practice Address |
5 East County Road B Suite #2 Little Canada MN 55117 |
| Practice Telephone | 6514892711 |
| Practice Fax Number | 6512871004 |
| Mailing Telephone | 6514892711 |
| Mailing Fax Number | 6512871004 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | MS. DEE RYAN (PRESIDENT) |
| Authorized Official Telephone | 6514892711 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
262061-1 | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| IntegrativeCare Natural Pharmacy | Other Name - Individual/Organization |
| Street Address |
5 EAST COUNTY ROAD B SUITE #2 |
| City | LITTLE CANADA |
| State | MN |
| Zip Code | 55117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073700910 | Dee Ryan | Pharmacist | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| 1821203266 | Lois No Middle Name Given Emmerling-knox | Speech-Language Pathologist | Therapy Connections for Kids, 80 Minnesota Ave W, Little Canada, MN 55117 | 2007-05-11 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding 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. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639622947 | Our Family Pharmacy LLC | Pharmacy | 601 University Ave W, Saint Paul, MN 55103-1940 | 2016-08-03 |
| 1669837530 | Legacy Apothecary | Pharmacy | 430 W Highway 5, Waconia, MN 55387-1723 | 2015-12-21 |
| 1407261365 | Lund Food Holdings Inc | Pharmacy | 970 Prairie Center Dr, Eden Prairie, MN 55344-7304 | 2014-06-30 |
| 1033521273 | Weber & Judd Co | Pharmacy | 18 9th St Se, Rochester, MN 55904-6423 | 2014-05-22 |
| 1609029297 | Oxybora Distributing, LLC | Pharmacy | 4335 Excelsior Blvd, St Louis Park, MN 55416-4811 | 2008-10-28 |
| 1811145436 | Blairco, Inc. | Pharmacy | 120 N Augusta Ct Ste 103, Mankato, MN 56001-7720 | 2008-09-08 |
| 1528222940 | Ccs Pharmacy | Pharmacy | 4203 Webber Pkwy, Minneapolis, MN 55412-1747 | 2008-07-15 |
| 1902940604 | Midwest Medical Holdings LLC | Pharmacy | 8400 Coral Sea St Ne Ste 100, Saint Paul, MN 55112-4395 | 2007-02-16 |
| 1346383601 | Mix Pharmacy, LLC | Pharmacy | 1266 Helmo Ave N, Oakdale, MN 55128 | 2007-02-15 |
| 1275682007 | Lakes Area Pharmacy | Pharmacy | 30503 State Hwy 371, Pequot Lakes, MN 56472-2913 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE CANADA |
| Zip Code | 55117 |
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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.