KOHAL PHARMACY INC (NPI# 1053453910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053453910 |
| Entity Type | Organization |
| Organization Name | KOHAL PHARMACY INC |
| Other Organization Name | KOHAL PHARMACY INC |
| Practice Address |
504 N Division Ave Pinehurst ID 83850 |
| Mailing Address |
Po Box 400 Pinehurst ID 83850-0400 |
| Practice Telephone | 2086823920 |
| Practice Fax Number | 2086823939 |
| Mailing Telephone | 2086823920 |
| Mailing Fax Number | 2086823939 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | MR. ALAN DOUGLAS KOHAL (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 2087869303 |
| Authorized Official Credential | RPH |
| 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 | 857CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0025278 | 05 |
| Other Name | Type Code |
|---|---|
| KOHAL PHARMACY INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639202609 | Kohal Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 504 North Division Ave, Pinehurst, ID 83850 | 2007-03-13 |
| Street Address |
504 N DIVISION AVE |
| City | PINEHURST |
| State | ID |
| Zip Code | 83850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326595869 | Aj Transport | Non-emergency Medical Transport (VAN) | 510 S. 6th St., Pinehurst, ID 83850 | 2016-09-01 |
| 1629416151 | Jayson Anders Bird | Dentist | 8 N Division St, Pinehurst, ID 83850 | 2013-06-06 |
| 1750724597 | Robert Eckhart | Pharmacist | 504 N. Division St, Pinehurst, ID 83850 | 2013-04-11 |
| 1386771947 | Patrick J Donat | Pharmacist | 504 North Division Ave, Pinehurst, ID 83850 | 2007-02-28 |
| 1992143978 | Bird Family Dental, Pllc | Clinic/Center | 8 N Division St, Pinehurst, ID 83850 | 2013-06-12 |
| 1639202609 | Kohal Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 504 North Division Ave, Pinehurst, ID 83850 | 2007-03-13 |
| 1144372475 | Michael J Claymore | Dentist | 8 N Division Street, Pinehusrt, ID 83850-0609 | 2007-01-17 |
| 1275704561 | Michael J Claymore Dds | Dentist | 8 N Division Street, Pinehurst, ID 83850-0609 | 2008-03-14 |
| 1346224821 | Rafael L Beier | Family Medicine | 107 Church St., Pinehusrt, ID 83850-0945 | 2005-11-30 |
| 1952438004 | Silver Valley Medicine Inc | Family Medicine | 107 Church St, Pinehurst, ID 83850-0945 | 2007-02-27 |
| Find all providers in zip 83850 | ||||
| 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 |
|---|---|---|---|---|
| 1336678663 | Firsthealth of The Carolinas, Inc. | Pharmacy | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2017-06-09 |
| 1760784359 | Pinehurst Medical Clinic Inc | Pharmacy | 15 Regional Dr, 2nd Floor Lobby, Pinehurst, NC 28374-8850 | 2010-12-02 |
| 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 |
| 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.