Organization
ICP2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR TAMMOUS (OWNER)
(973) 809-2820
Entity
Organization
Contact information
Practice address
661MAIN STREET, PATERSON, NJ 07503
(973) 307-9000
(973) 754-0044
Mailing address
661MAIN STREET, PATERSON, NJ 07503
(973) 307-9000
(973) 754-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00760400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176021
PK
—
Enumeration date
02/14/2018
Last updated
04/30/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up