PRESCRIPTION PAD LLC (NPI# 1073133328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073133328 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION PAD LLC |
| Practice Address |
885 S Vanguard Way Meridian ID 83642 |
| Mailing Address |
Po Box 509 Fruitland ID 83619-0509 |
| Practice Telephone | 2088912192 |
| Mailing Telephone | 2088912192 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | TRENTON JOHN JENKS (OWNER) |
| Authorized Official Telephone | 2088912192 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PRESCRIPTION PAD, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102653 | Prescription Pad LLC | Pharmacy | 1620 N Whitley Dr, Fruitland, ID 83619-2129 | 2014-07-14 |
| Street Address |
885 S VANGUARD WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| 1861982456 | St Lukes Clinic - Treasure Valley LLC | Preventive Medicine | 5155 S Howry Lane, Meridian, ID 83642 | 2018-05-18 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1699048009 | Rosauers Supermarkets Inc | Pharmacy | 2986 N Eagle Rd, Meridian, ID 83646-6251 | 2012-02-15 |
| 1093953218 | Walgreen Co | Pharmacy | 4850 N Linder Rd, Meridian, ID 83646-6159 | 2009-01-26 |
| 1447324967 | Transcript Pharmacy Inc | Pharmacy | 1815 Highway 39 N, Ste E, Meridian, MS 39301-2732 | 2006-11-17 |
| 1417056722 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 820 Highway 19 N Ste 195, Meridian, MS 39307-5820 | 2006-09-22 |
| 1114929296 | Hulls Pharmacy Inc | Pharmacy | 2000 24th Ave, Meridian, MS 39301-3120 | 2005-06-02 |
| 1710525829 | The Family Medicine Residency of Idaho, Inc. | Pharmacy | 2275 S Eagle Rd Ste 120, Meridian, ID 83642-2620 | 2019-12-19 |
| 1609311448 | Freds Stores of Tennessee Inc | Pharmacy | 626 22nd Ave S, Meridian, MS 39301-6120 | 2017-01-04 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.