Provider Demographics
NPI:1548259963
Name:IGG OF AMERICA, INC.
Entity type:Organization
Organization Name:IGG OF AMERICA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. CONSULTANT PAYER RELATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-225-5967
Mailing Address - Street 1:1 CVS DR
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6146
Mailing Address - Country:US
Mailing Address - Phone:469-365-8287
Mailing Address - Fax:469-365-8274
Practice Address - Street 1:7150 COLUMBIA GATEWAY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2972
Practice Address - Country:US
Practice Address - Phone:877-674-9700
Practice Address - Fax:877-402-4042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMARK RX, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-18
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336S0011X
MDPW02853336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127353OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2127353OtherNCPDP PROVIDER IDENTIFICATION NUMBER