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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
44698RP | ID | Suppliers |
Street Address |
4750 YELLOWSTONE AVE |
City | CHUBBUCK |
State | ID |
Zip Code | 83202-2336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396276945 | Clifford Family Medicine | Family Medicine | 4750 Yellowstone Ave, Chubbuck, ID 83202-2336 | 2017-03-24 |
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 Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
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] |
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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 |
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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.