MAAG PRESCRIPTION CENTER LLC (NPI# 1134783202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134783202 |
| Entity Type | Organization |
| Organization Name | MAAG PRESCRIPTION CENTER LLC |
| Practice Address |
333 W Center St Pocatello ID 83204-3243 |
| Mailing Address |
Po Box 115 Pocatello ID 83204-0115 |
| Practice Telephone | 2082332063 |
| Practice Fax Number | 2082336158 |
| Mailing Telephone | 2082332063 |
| Mailing Fax Number | 2082336158 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | KATHLEEN CAROL MAAG (BOARD OF DIRECTION, VP, TREASURER) |
| Authorized Official Telephone | 2082332063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002488900 | 05 |
| Other Name | Type Code |
|---|---|
| MAAG PRESCRIPTION AND MEDICAL SUPPLY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972633915 | Maag Prescription Center LLC | Pharmacy | 333 W. Center St., Pocatello, ID 83204 | 2007-03-07 |
| Street Address |
333 W CENTER ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669512257 | Maag Prescription Center L.L.C. | Durable Medical Equipment & Medical Supplies | 333 W Center St, Pocatello, ID 83204-3243 | 2007-02-06 |
| 1770136996 | Mary Wendy Hunter | Pharmacist | 333 W Center St, Pocatello, ID 83204-3243 | 2019-07-17 |
| 1851951651 | Greg A Maag | Pharmacist | 333 W Center St, Pocatello, ID 83204-3243 | 2019-06-14 |
| 1578904967 | Wesston Ford Faux | Pharmacist | 333 W Center St, Pocatello, ID 83204-3243 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1861616740 | Keymed, Inc | Pharmacy | 426 W Lewis St, Pocatello, ID 83204-3218 | 2007-04-12 |
| 1487698171 | Keymed Inc | Pharmacy | 1023 Yellowstone Ave Ste J, Pocatello, ID 83201-4478 | 2006-06-15 |
| 1023004348 | Home Living Services Inc | Pharmacy | 436 E Bonneville St, Pocatello, ID 83201-6406 | 2005-09-22 |
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|---|---|---|---|---|
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| 1225668957 | Chemist Prime LLC | Pharmacy | 222 N Maple Grove Rd, Boise, ID 83704-8239 | 2020-01-22 |
| 1609430479 | Continued Care Ltc Pharmacy Idaho LLC | Pharmacy | 8601 W Emerald St Ste 176, Boise, ID 83704-8297 | 2019-04-27 |
| 1609365345 | Cd Pharmacy LLC | Pharmacy | 2370 S Titanium Pl, Meridian, ID 83642-6867 | 2018-05-08 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1750442315 | State of Idaho | Pharmacy | 700 East Alice Street, Blackfoot, ID 83221 | 2006-12-13 |
| 1316029184 | Tnt Apothecary LLC | Pharmacy | 280 S Idaho St, Wendell, ID 83355-5200 | 2006-10-20 |
| 1689768145 | Chastains Incorporated | Pharmacy | 720 16th Ave, Suite 2, Lewiston, ID 83501-3768 | 2006-10-02 |
| 1750498044 | Marketime Drug of Moscow Inc | Pharmacy | 209 East Third St, Moscow, ID 83843 | 2006-08-24 |
| 1760494033 | Pharmerica Mountain LLC | Pharmacy | 2950 E Magic View Dr Ste 190, Meridian, ID 83642 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
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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.