GLENWOOD PHARMACY, INC (NPI# 1386640001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386640001 |
| Entity Type | Organization |
| Organization Name | GLENWOOD PHARMACY, INC |
| Practice Address |
1105 Michigan Ave Orofino ID 83544-9005 |
| Practice Telephone | 2084765727 |
| Practice Fax Number | 2084764045 |
| Mailing Telephone | 2084765727 |
| Mailing Fax Number | 2084764045 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-07-15 |
| Authorized Official Name | PATRICIA PETERSON (PRESIDENT) |
| Authorized Official Telephone | 2084765727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2006CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002593600 | 05 | |
| NABP | 1303495 | 01 | |
| ID | 002501800 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | GLENWOOD PHARMACY, INC. | 153 Glenwood Rd, Clinton, CT 06413 |
| Street Address |
1105 MICHIGAN AVE |
| City | OROFINO |
| State | ID |
| Zip Code | 83544-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679037402 | Arnzen Super Drug, Inc | Pharmacy | 1105 Michigan Ave, Orofino, ID 83544-9005 | 2019-01-25 |
| 1215065487 | Donald W Goetsch | Pharmacist | 1105 Michigan Ave, Orofino, ID 83544-2625 | 2007-03-01 |
| 1972643237 | Patricia Peterson | Pharmacist | 1105 Michigan Ave, Orofino, ID 83544-2625 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1295130698 | Brian Shapiro | Marriage & Family Therapist | 155 Main Street Stuite C, Orofino, ID 83544 | 2014-10-28 |
| 1942497052 | Jean M. Shropshire | Speech-Language Pathologist | 123 1st St., Orofino, ID 83544 | 2007-10-02 |
| 1417161969 | Jeffrey David Hartshorn | Chiropractor | 437 College Avenue, Orofino, ID 83544 | 2007-05-10 |
| 1598808099 | Orofino Physical Therapy and Wellness Inc | Physical Medicine & Rehabilitation | 1005 Michigan Ave, Orofino, ID 83544 | 2007-02-14 |
| 1083766356 | Adam C. Dayley, O.d., P.C. | Optometrist | 906 Michigan Ave., Orofino, ID 83544 | 2007-01-17 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1386718047 | Irene Lamberti | Chiropractor | 437 College Ave., Orofino, ID 83544 | 2006-11-17 |
| 1730281064 | Clearwater County | Ambulance | 1195 Riverside Avenue, Orofino, ID 83544 | 2006-09-05 |
| 1538101050 | Wendi Rene Richardson | Nurse Anesthetist, Certified Registered | 301 Cedar, Clearwater Valley Hospital, Orofino, ID 83544 | 2006-06-11 |
| Find all providers in zip 83544 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629452776 | Shopko Stores Operating Co., LLC | Pharmacy | 429 Michigan Ave, Orofino, ID 83544-0000 | 2015-07-17 |
| 1003827502 | Glenwood Pharmacy Inc | Pharmacy | 13040 Highway 12, Orofino, ID 83544-9330 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043878598 | Legranderx Pharmacy LLC | Pharmacy | 343 E 4th N Ste 126, Rexburg, ID 83440-6004 | 2019-05-30 |
| 1386202026 | Genoa Healthcare, LLC | Pharmacy | 2705 E 17th St Ste S5, Ammon, ID 83406-6601 | 2019-05-29 |
| 1669935813 | Broulim Supermarkets, LLC | Pharmacy | 301 Aspen Sq, Saint Anthony, ID 83445-1662 | 2019-04-12 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1881194090 | Doc's Pharmacy2 LLC | Pharmacy | 16438 N Highway 41, Rathdrum, ID 83858-6888 | 2018-02-14 |
| 1508365958 | P. Roman Burk Dpm PC | Pharmacy | 2667 E. Gala Court Suite 125, Meridian, ID 83642 | 2018-02-12 |
| 1053860767 | Gooding Pharmacy Inc | Pharmacy | 120 South Apple, Suite A, Shoshone, ID 83352 | 2016-09-23 |
| 1649644584 | Yokes Foods Inc | Pharmacy | 1501 E Seltice Way, Post Falls, ID 83854-7531 | 2015-11-16 |
| 1164811402 | Ashton Memorial, Inc | Pharmacy | 23 S. 8th St., Ashton, ID 83420 | 2015-01-09 |
| 1053742577 | Gemstate Pharmacy Group Inc | Pharmacy | 800 S Industry Way Ste 330, Meridian, ID 83642-3598 | 2013-12-09 |
| 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.