BENGAL PHARMACY (NPI# 1992808059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992808059 |
Entity Type | Organization |
Organization Name | BENGAL PHARMACY |
Other Organization Name | BENGAL PHARMACY AT LOST RIVERS |
Practice Address |
551 Highland Dr Arco ID 83213-5003 |
Mailing Address |
990 S 8th Ave Stop 8158 Pocatello ID 83209-0001 |
Practice Telephone | 2085278201 |
Practice Fax Number | 2085278273 |
Mailing Telephone | 2082823407 |
Mailing Fax Number | 2082826150 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2020-03-23 |
Authorized Official Name | BRADY BROWER (PHARMACIST MANAGER) |
Authorized Official Telephone | 2082823407 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 35676LS | ID | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2146427 | 01 | |
ID | 1992808059 | 05 |
Other Name | Type Code |
---|---|
Bengal Pharmacy at Lost Rivers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497194013 | Bengal Pharmacy | Pharmacy | 990 S 8th Ave, Pocatello, ID 83209-0001 | 2013-06-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | BENGAL PHARMACY INC. | 87-81 Parsons Blvd., Jamaica, New York 11432 |
Street Address |
551 HIGHLAND DR |
City | ARCO |
State | ID |
Zip Code | 83213-5003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114925047 | Lost Rivers Medical Center | General Acute Care Hospital | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-13 |
1629627575 | Kristy L Unruh | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2019-09-04 |
1922355049 | Mary Spraktes | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2012-08-08 |
1538399712 | Helen Michelle Pearson | Chiropractor | 551 Highland Dr, Arco, ID 83213-5003 | 2009-07-22 |
1265515357 | Lost Rivers Hospital Pharmacy | Pharmacist | 551 Highland Dr, Arco, ID 83213 | 2006-10-23 |
1285747055 | Lost Rivers District Hospital | Hospice, Inpatient | 551 Highland Dr, Arco, ID 83213 | 2006-08-16 |
1134130107 | Lost Rivers Medical Center | Skilled Nursing Facility | 551 Highland Dr, Arco, ID 83213 | 2006-08-11 |
1427062181 | Lost Rivers Medical Center | Family Medicine | 551 Highland Dr, Arco, ID 83213-5003 | 2006-07-28 |
1336147149 | Lost Rivers District Hospital | Home Health | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
1689672495 | Lost Rivers District Hospital | Assisted Living Facility | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457608671 | Eagle Rock Dental Care Arco Pllc | Dentist | 520 Highland Dr., Arco, ID 83213 | 2012-08-07 |
1306104641 | Badger Inc | Counselor | 159 North Idaho Ave, Arco, ID 83213 | 2012-04-24 |
1194947358 | Butte County School District 111 | Specialist | 246 Sunset Drive, Arco, ID 83213 | 2007-05-03 |
1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
1588786875 | Channing Way Dental Dba Lost Rivers Dental | Dentist | 520 Highland Drive, Arco, ID 83213 | 2007-04-06 |
1184632382 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 159 North Idaho St., #102, Arco, ID 83213 | 2006-08-03 |
1588910913 | Lost River Emt | Ambulance | 201 N. Idaho St., Arco, ID 83213-0503 | 2012-08-03 |
1760696447 | Hal J Jardine | Counselor | 630 N Front St, Arco, ID 83213-8756 | 2007-05-10 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043878598 | Legranderx Pharmacy LLC | Pharmacy | 343 E 4th N Ste 126, Rexburg, ID 83440-6004 | 2019-05-30 |
1386202026 | Genoa Healthcare, LLC | Pharmacy | 2705 E 17th St Ste S5, Ammon, ID 83406-6601 | 2019-05-29 |
1669935813 | Broulim Supermarkets, LLC | Pharmacy | 301 Aspen Sq, Saint Anthony, ID 83445-1662 | 2019-04-12 |
1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
1881194090 | Doc's Pharmacy2 LLC | Pharmacy | 16438 N Highway 41, Rathdrum, ID 83858-6888 | 2018-02-14 |
1508365958 | P. Roman Burk Dpm PC | Pharmacy | 2667 E. Gala Court Suite 125, Meridian, ID 83642 | 2018-02-12 |
1053860767 | Gooding Pharmacy Inc | Pharmacy | 120 South Apple, Suite A, Shoshone, ID 83352 | 2016-09-23 |
1649644584 | Yokes Foods Inc | Pharmacy | 1501 E Seltice Way, Post Falls, ID 83854-7531 | 2015-11-16 |
1629452776 | Shopko Stores Operating Co., LLC | Pharmacy | 429 Michigan Ave, Orofino, ID 83544-0000 | 2015-07-17 |
1164811402 | Ashton Memorial, Inc | Pharmacy | 23 S. 8th St., Ashton, ID 83420 | 2015-01-09 |
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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.