SNAKE RIVER PHARMACY


Address: 4750 Yellowstone Ave, Chubbuck, ID 83202-2336
Phone: (208) 240-3733

SNAKE RIVER PHARMACY (NPI# 1740717693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740717693
Entity Type Organization
Organization Name SNAKE RIVER PHARMACY
Practice Address 4750 Yellowstone Ave
Chubbuck
ID 83202-2336
Practice Telephone (208) 240-3733
Mailing Telephone 2082403733
Enumeration Date 2017-05-22
Last Update Date 2017-05-22
Authorized Official Name DR. BRIAN LUNT (PHARMACIST)
Authorized Official Telephone 2082403733
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
44698RP ID Suppliers

Office Location

Street Address 4750 YELLOWSTONE AVE
City CHUBBUCK
State ID
Zip Code 83202-2336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396276945 Clifford Family Medicine Family Medicine 4750 Yellowstone Ave, Chubbuck, ID 83202-2336 2017-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700379682 Vera Whole Health, Wa PC Clinic/Center 219 Phil Meador Ave, Pocatello, ID 83202 2018-06-14
1649712597 Angie M Mccurdy Audiologist 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 2016-11-09
1285180836 Beverly Grigg Jones Counselor 210 W. Burnside, Chubbuck, ID 83202 2016-09-01
1376992503 Andrea Walsh Nurse Practitioner 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 2016-06-08
1215381181 Specialized Physical Therapy Pllc Clinic/Center 4141 Poleline Rd Ste A, Pocatello, ID 83202 2016-04-18
1457713588 Jennifer Ann Gould Radiologic Technologist 907 Ryan Street, Chubbuck, ID 83202 2016-03-28
1154714897 Phoenix Management LLC Day Training, Developmentally Disabled Services 10991 Deerridge Dr., Chubbuck, ID 83202 2015-03-05
1750781449 Jennifer Lynn Seaich Counselor 4460 Center Way, Center Counseling, Pocatello, ID 83202 2014-08-29
1336562412 Kurt Layton Counselor 337 Joel, Chubbuck, ID 83202 2014-01-27
1245653468 Hannah's Place LLC Occupational Therapist 240 W Burnside Ave Ste D, Chubbuck, ID 83202 2014-01-23
Find all providers in zip 83202

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164035689 Allergy Butler, LLC Pharmacy 1611 12th Ave Rd Ste A, Nampa, ID 83686-6182 2020-08-25
1922312842 Teton Valley Hospital Pharmacy Pharmacy 120 East Howard Ave., Driggs, ID 83422-5112 2010-08-03
1730351081 Idaho State University Pharmacy 990 South 8th, Pocatello, ID 83209 2008-03-27
1184163511 Bear Lake Community Health Center Pharmacy - 340b Pharmacy 152 S 4th St, Montpelier, ID 83254-1538 2017-02-17
1942615828 Family Health Services Pharmacy Pharmacy 388 Martin Street, Family Health Services Pharmacy, Twin Falls, ID 83301-6856 2014-06-30
1669616272 Community Health Clinics, Inc. Pharmacy 300 S 23rd St, Boise, ID 83702-9100 2009-04-27
1316156482 Community Health Clinics, Inc. Pharmacy 802 Cleveland Blvd, Caldwell, ID 83605 2007-05-22
1770687188 Community Health Clinics, Inc Pharmacy 223 16th Ave N, Nampa, ID 83687-4058 2006-09-08

Competitor

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City CHUBBUCK
Zip Code 83202

Improve Information

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Dataset Information

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.

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