INNOVATIVE CARE PHARMACY (NPI# 1407966229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407966229 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE CARE PHARMACY |
| Other Organization Name | INNOVATIVE CARE PHARMACY LLC |
| Practice Address |
9196 W Emerald St Ste 110 Boise ID 83704-0679 |
| Practice Telephone | 2083231259 |
| Practice Fax Number | 2083238934 |
| Mailing Telephone | 2083231259 |
| Mailing Fax Number | 2083238934 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | SHEILA MOORE (VP PURCHASING) |
| Authorized Official Telephone | 8175527630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2303CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1307619 | 01 | |
| ID | 806967700 | 05 |
| Other Name | Type Code |
|---|---|
| INNOVATIVE CARE PHARMACY LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055324 | Innovative Care Pharmacy | Pharmacy | 9196 E Emerald St, Ste 110, Boise, ID 83704 | 2005-10-05 |
| Street Address |
9196 W EMERALD ST STE 110 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639601339 | Maggie Benedetti | Social Worker | 9196 W Emerald St, Ste. 135, Boise, ID 83704-0679 | 2017-03-31 |
| 1558722520 | Kyley Jo Trausch | Social Worker | 9196 W Emerald St, Suite 135, Boise, ID 83704-0679 | 2016-03-17 |
| 1477936136 | Kathryn List | Counselor | 9196 W Emerald St, Suite 135, Boise, ID 83704-0679 | 2015-06-30 |
| 1346680683 | Veterans Pharma Incorporated | Pharmacy | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2013-07-01 |
| 1003112053 | David Lyn Harrison | Pharmacist | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2011-02-08 |
| 1124324207 | George W Drashner | Pharmacist | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1477870103 | Walgreen Co | Pharmacy | 6195 S Five Mile Rd, Boise, ID 83709-6202 | 2010-04-20 |
| 1417188632 | Hayes Inspirations | Pharmacy | 286 N Maple Grove Rd, Boise, ID 83704-8239 | 2009-08-05 |
| 1578615530 | Drugs Inc | Pharmacy | 1221 Broadway Ave, Boise, ID 83706-3701 | 2007-01-18 |
| 1134134257 | Walgreen Co | Pharmacy | 6725 N Glenwood St, Boise, ID 83714-1926 | 2006-07-29 |
| 1750840419 | Jacob Fuchs | Pharmacy | 801 S Vista Ave, Boise, ID 83705-2424 | 2019-03-12 |
| 1619441383 | Safeway Inc | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2019-01-16 |
| 1649770876 | Albertsons Companies Inc | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2018-02-14 |
| 1316462393 | Albertsons Companies LLC | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2017-08-10 |
| 1861917858 | Medcart Specialty Care LLC | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2017-08-10 |
| 1457880940 | Albertsons LLC | Pharmacy | 1219 S Broadway Ave, Boise, ID 83706 | 2017-06-08 |
| Find all providers in BOISE | ||||
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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.