MAAG PRESCRIPTION CENTER L.L.C. (NPI# 1669512257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669512257 |
| Entity Type | Organization |
| Organization Name | MAAG PRESCRIPTION CENTER L.L.C. |
| Practice Address |
333 W Center St Pocatello ID 83204-3243 |
| Mailing Address |
Po Box 115 Pocatello ID 83204-0115 |
| Practice Telephone | 2082332063 |
| Mailing Telephone | 2082332063 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TROY PAZ (GM) |
| Authorized Official Telephone | 2082332063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
526CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 8589-4 | 01 |
| ID | BLUE SHIELD OF ID | 000010014150 | 01 |
| Street Address |
333 W CENTER ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134783202 | Maag Prescription Center LLC | Pharmacy | 333 W Center St, Pocatello, ID 83204-3243 | 2019-04-24 |
| 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 | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982879789 | Frontier Leasing Lmtd Par | Durable Medical Equipment & Medical Supplies | 353 N. 4th Avenue, Ste 205, Pocatello, ID 83201-6392 | 2008-04-23 |
| 1528054830 | Super Save Drug | Durable Medical Equipment & Medical Supplies | 701 East Center, Pocatello, ID 83205-4869 | 2005-09-22 |
| 1134350804 | Health and Wellness | Durable Medical Equipment & Medical Supplies | 1553 E Center St, Pocatello, ID 83201-4135 | 2009-07-29 |
| 1487813457 | Pharmacy Shop Inc | Durable Medical Equipment & Medical Supplies | 1015 E Young St, Pocatello, ID 83201-5282 | 2008-06-05 |
| 1043372048 | Shaver Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 235 S 4th, Pocatello, ID 83201 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791734 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1110 W Park Pl Ste 308, Coeur D Alene, ID 83814-2715 | 2020-05-12 |
| 1619526811 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1994 E Franklin Rd Ste 120, Meridian, ID 83642-5975 | 2019-09-10 |
| 1851677827 | The Hospice Store and Supplies | Durable Medical Equipment & Medical Supplies | 134 N 3966 E, Address 2, Rigby, ID 83442-5772 | 2011-10-22 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1639407760 | Cpapnow, Inc. | Durable Medical Equipment & Medical Supplies | 1616 E Plaza Loop, Nampa, ID 83687-4931 | 2009-12-01 |
| 1326375908 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 143 N State St Ste 5, Rigby, ID 83442-4956 | 2009-11-03 |
| 1740410380 | Sun Valley Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 21 E Maple St Ste B, Hailey, ID 83333-4900 | 2009-07-16 |
| 1043448400 | Idaho Home Health & Hospice | Durable Medical Equipment & Medical Supplies | 423 Idaho St, Gooding, ID 83330-1258 | 2009-06-24 |
| 1982844866 | Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 2065 E. Fairview Ave., Meridian, ID 83642-5798 | 2009-03-04 |
| 1043408560 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 W 3rd St, Unit 2, Moscow, ID 83843-2284 | 2007-10-10 |
| 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.