ICON HEALTH SCIENCE (NPI# 1710428131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710428131 |
| Entity Type | Organization |
| Organization Name | ICON HEALTH SCIENCE |
| Other Organization Name | BODY AND PAIN |
| Practice Address |
40 Richards Ave 3rd Floor Norwalk CT 06854-2319 |
| Practice Telephone | 8002438370 |
| Practice Fax Number | 8883740626 |
| Mailing Telephone | 8002438370 |
| Mailing Fax Number | 8883740626 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | DR. IKECHUKWU (IKAY) KANAYO ENU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6179054430 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | D0067749 | MD | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
D0067749 | MD | Suppliers |
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
D0067749 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| BODY AND PAIN | Doing Business As Name - Organization |
| Street Address |
40 RICHARDS AVE 3RD FLOOR |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003991704 | Maxim Healthcare Services, Inc. | Home Health | 40 Richards Ave, 6th Floor, Norwalk, CT 06854-2319 | 2006-10-25 |
| 1376057943 | George Kollie | Non-emergency Medical Transport (VAN) | 40 Richards Ave, Norwalk, CT 06854-2319 | 2017-11-19 |
| 1043758022 | The Lasik Vision Institute LLC | Clinic/Center | 40 Richards Ave, 6th Floor, Norwalk, CT 06854-2319 | 2017-02-09 |
| 1013451574 | Phase 2 Face Home Care LLC | Home Health | 40 Richards Ave, 3rd Floor, Norwalk, CT 06854-2319 | 2016-12-16 |
| 1750655189 | Healthprize Technologies, LLC | Behavioral Analyst | 40 Richards Ave, 3rd Floor, Norwalk, CT 06854-2319 | 2012-03-02 |
| 1417034687 | Compassionate Home Care, LLC | Home Health Aide | 40 Richards Ave, 7th Floor, Norwalk, CT 06854-2319 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959981 | Gail Paige-bowman | Social Worker | 185 Rowayton Woods Dr., Norwalk, CT 06854 | 2018-04-11 |
| 1457854440 | Dorye Emory Jackson | Counselor | 50 Washington Street, Suite 750, Norwalk, CT 06854 | 2018-03-15 |
| 1225409550 | Brahmleen Kaur | Dentist | 9a Washington Street, Sono Dental Group LLC, Norwalk, CT 06854 | 2015-10-13 |
| 1578971461 | 4 Nurses At Work LLC | Registered Nurse | 9 Michael St, Norwalk, CT 06854 | 2014-07-24 |
| 1730527573 | Hyun Lee | Dentist | 9 Wahington St, Norwalk, CT 06854 | 2013-06-13 |
| 1861794364 | Laura Hart | Social Worker | 50 Washington St Ste 751, Norwalk, CT 06854 | 2010-12-03 |
| 1922316363 | Amie Kim | Pharmacist | 650 Connecticut Ave, Norwalk, CT 06854 | 2010-09-20 |
| 1497934970 | Zhen Zhen He | Pharmacist | 660 Connecticut Ave, Norwalk, CT 06854 | 2007-10-31 |
| 1467665612 | Megan A Whitney | Dentist | 49 Day Street, Norwalk Smiles Chc, Inc, Norwalk, CT 06854 | 2007-05-07 |
| 1942244819 | Eric Brandt Einstein | Internal Medicine | 120 Connecticut Avenue, Adult Medicine-nchc, Norwalk, CT 06854 | 2006-06-15 |
| Find all providers in zip 06854 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578886461 | Mashantucket Pequot Tribal | Pharmacy | 1 Annie George Dr, Bldg 1, Mashantucket, CT 06338-3801 | 2010-03-05 |
| 1003036435 | Mashantucket Pequot Tribal | Pharmacy | 1 Annie George Dr, Mashantucket, CT 06338-3801 | 2007-04-26 |
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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.