Provider Demographics
NPI:1336554112
Name:INTEGRITY RX SPECIALTY PHARMACY LLC
Entity Type:Organization
Organization Name:INTEGRITY RX SPECIALTY PHARMACY LLC
Other - Org Name:INTEGRITY RX SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:800-321-9956
Mailing Address - Street 1:8425 N 90TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4392
Mailing Address - Country:US
Mailing Address - Phone:800-321-9956
Mailing Address - Fax:480-434-6511
Practice Address - Street 1:8425 N 90TH ST STE 8
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4393
Practice Address - Country:US
Practice Address - Phone:800-321-9956
Practice Address - Fax:480-434-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNRX00005813336S0011X
MO20150300903336S0011X
ID37378MS3336S0011X
IN64001777A3336S0011X
FLPH288953336S0011X
MN2647743336S0011X
IL0540195463336S0011X
CTPCN.00030343336S0011X
AKPHAO15433336S0011X
KS22-449833336S0011X
COOSP.00065283336S0011X
KYAZ23523336S0011X
MDP076813336S0011X
CANRP15633336S0011X
GAPHNR0014473336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146638OtherPK