RIDLEY'S FAMILY MARKETS, INC (NPI# 1184050148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184050148 |
| Entity Type | Organization |
| Organization Name | RIDLEY'S FAMILY MARKETS, INC |
| Other Organization Name | RIDLEY'S PHARMACY #7156 |
| Practice Address |
1000 Pocatello Creek Rd Pocatello ID 83201-2926 |
| Mailing Address |
621 Washington St S Twin Falls ID 83301-5519 |
| Practice Telephone | 2082334051 |
| Practice Fax Number | 2082332888 |
| Mailing Telephone | 2082334051 |
| Mailing Fax Number | 2082332888 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | CATHI KETTERLING (PHARMACY COORDINATOR) |
| Authorized Official Telephone | 2083244633 |
| Authorized Official Credential | PHARM, D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
22546RP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LIC | 22546RP | 01 |
| Other Name | Type Code |
|---|---|
| Ridley's Pharmacy #7156 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619089 | Ridley's Family Markets, Inc | Pharmacy | 7670 5th St, Wellington, CO 80549-1500 | 2017-06-20 |
| 1427489954 | Ridley's Family Markets, Inc | Pharmacy | 1403 N Meridian Rd, Kuna, ID 83634 | 2013-12-10 |
| 1700116886 | Ridley's Family Markets, Inc | Pharmacy | 25 W Center St, Orem, UT 84057-4605 | 2010-01-12 |
| 1255661500 | Ridley's Family Markets, Inc | Pharmacy | 1585 N State St, Orem, UT 84057-2578 | 2010-01-09 |
| 1700116050 | Ridley's Family Markets, Inc | Pharmacy | 1689 Great Basin Hwy, Ely, NV 89301-3154 | 2010-01-09 |
| 1003942913 | Ridley's Family Markets, Inc | Durable Medical Equipment & Medical Supplies | 210 Main St. South, Kimberly, ID 83341-0443 | 2007-02-26 |
| 1730215070 | Ridley's Family Markets, Inc | Durable Medical Equipment & Medical Supplies | 310 Oneida, Rupert, ID 83350-1756 | 2007-02-23 |
| 1801921135 | Ridley's Family Markets, Inc | Pharmacy | 1016 S Lincoln, Jerome, ID 83338-3048 | 2007-02-23 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| 1245676741 | Ridley's Family Markets, Inc | Pharmacy | 5353 W 11000 N, Highland, UT 84003-9403 | 2013-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Ridley's Family Markets, Inc. | 621 Washington Street South, Twin Falls, ID 83301 |
| Street Address |
1000 POCATELLO CREEK RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679942791 | Megan Brasher | Pharmacist | 1000 Pocatello Creek Rd, Pocatello, ID 83201-2926 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1891942413 | Costco Wholesale Corporation | Pharmacy | 305 W Quinn Rd, Pocatello, ID 83201 | 2008-08-26 |
| 1114053444 | Ridley's Family Markets, Inc | Pharmacy | 911 N Main St, Pocatello, ID 83204-2831 | 2007-02-23 |
| 1356367486 | Ed Snell's Pharmacy Shop | Pharmacy | 1015 E Young St, Pocatello, ID 83201-5282 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1841806494 | Deblaquiere Enterprises, Inc. | Pharmacy | 86 Tank Rd, Oldtown, ID 83822-5126 | 2020-09-18 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1851923544 | Rocky Mountain Pharmacy, LLC | Pharmacy | 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 | 2020-02-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1508420373 | K2red LLC | Pharmacy | 447 N Idaho St, Wendell, ID 83355 | 2019-04-27 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 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.