Provider Demographics
NPI:1124361985
Name:INNOVATIVE PHARMACEUTICALS AND CONSULTING (IPAC)
Entity Type:Organization
Organization Name:INNOVATIVE PHARMACEUTICALS AND CONSULTING (IPAC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OJI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCPP
Authorized Official - Phone:301-332-4348
Mailing Address - Street 1:21731 OAKBRIDGE PARK LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5124
Mailing Address - Country:US
Mailing Address - Phone:832-321-3584
Mailing Address - Fax:
Practice Address - Street 1:21731 OAKBRIDGE PARK LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5124
Practice Address - Country:US
Practice Address - Phone:832-321-3584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-30
Last Update Date:2013-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4791101YA0400X
OH101YP1600X
TX163WH0200X, 163WP0808X
TX334151835P1300X
MD186811835P1300X
DC1835P1300X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatricGroup - Multi-Specialty