Icp Holdings, LLC
NPI 1184175523ActiveOrganization· Pharmacy, Compounding Pharmacy· Sandy Springs, GA
Pharmacy, Compounding Pharmacy in Sandy Springs, Georgia, registered in NPPES in October 2016. The authorized official on file is Casey Gaetano, Managing Partner.
Overview
| NPI | 1184175523 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2016 |
| Last updated in NPPES | Jan 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|