SAWTOOTH COMPOUNDING PHARMACY, LLC (NPI# 1790321321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790321321 |
| Entity Type | Organization |
| Organization Name | SAWTOOTH COMPOUNDING PHARMACY, LLC |
| Practice Address |
90 S Cole Rd Boise ID 83709-0930 |
| Practice Telephone | 2085062673 |
| Practice Fax Number | 2085062672 |
| Mailing Telephone | 2085062673 |
| Mailing Fax Number | 2085062672 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MR. JAMES W EDDINS (OWNER) |
| Authorized Official Telephone | 2085062673 |
| Authorized Official Credential | CPHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | SAWTOOTH | 2405 | 01 |
| Street Address |
90 S COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-0930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629456926 | K2red LLC | Pharmacy | 801 S Vista Ave, Boise, ID 83705-2424 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1518401512 | Ram Pharma, Inc. | Pharmacy | 1125 Hollipark Dr, Idaho Falls, ID 83401-5806 | 2016-12-09 |
| 1578826178 | Medicine Man Bonners Ferry Pharmacy LLC | Pharmacy | 6452 Main St, Bonners Ferry, ID 83805-8520 | 2012-06-19 |
| 1891017208 | Hb Ventures Rx LLC | Pharmacy | 3355 E Louise Dr, Meridian, ID 83642-5047 | 2010-02-26 |
| 1457682114 | Custom Rx | Pharmacy | 173 W 4th St, Kuna, ID 83634-2046 | 2010-01-20 |
| 1972633915 | Maag Prescription Center LLC | Pharmacy | 333 W. Center St., Pocatello, ID 83204 | 2007-03-07 |
| 1780729988 | Customedica Pharmacy, Inc | Pharmacy | 149 W State St, Suite 101, Eagle, ID 83616-4959 | 2007-02-21 |
| 1598868770 | Well Life Pharmacy Incorporated | Pharmacy | 565 N Vest St, Post Falls, ID 83854-7066 | 2006-09-06 |
| 1083720494 | Shaver Holdings Inc | Pharmacy | 235 S 4th Ave, Pocatello, ID 83201-6438 | 2006-08-21 |
| 1316558521 | Compound Preferred LLC | Pharmacy | 1125 Hollipark Dr, Idaho Falls, ID 83401-5806 | 2020-08-11 |
| 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.