Ickyma LLC
Ickyma LLC is a healthcare organization registered as Community/Retail Pharmacy in Lexington, KY, holding Type 2 (organization) NPI 1265570824 since 2007. The authorized official on file is Eric Brewer, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265570824 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ickyma LLC |
| Other name | <Unavail> |
| Practice address | 1465 VILLAGE DR, Lexington, KY, 40504 |
| Phone | 8592548852 |
| Fax | 8592548853 |
| Enumeration date | 2007-02-02 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Eric Brewer |
|---|---|
| Title | Member |
| Phone | 8592548852 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | P06879 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54005715 | Medicaid | KY | — |
Copy-ready billing details
Provider: Ickyma LLC NPI: 1265570824 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1465 VILLAGE DR, Lexington, KY, 40504
Verify this record
Cross-check NPI 1265570824 against the authoritative CMS record: view Ickyma LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Ickyma LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.