RED ROCK PHARMACY INCORPORATED (NPI# 1053548073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053548073 |
| Entity Type | Organization |
| Organization Name | RED ROCK PHARMACY INCORPORATED |
| Other Organization Name | R & R PHARMACY |
| Practice Address |
133 W Avenue A Jerome ID 83338-2601 |
| Practice Telephone | 2083243784 |
| Practice Fax Number | 2083244599 |
| Mailing Telephone | 2083243784 |
| Mailing Fax Number | 2083244599 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | MR. EDWARD L SNELL (OWNER/MANAGER) |
| Authorized Official Telephone | 2083243784 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806707900 | 05 |
| Other Name | Type Code |
|---|---|
| R & R PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832314 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2006-06-25 |
| Street Address |
133 W AVENUE A |
| City | JEROME |
| State | ID |
| Zip Code | 83338-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832314 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2006-06-25 |
| 1316507734 | Readings Community Pharmacy Inc | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2630 | 2019-06-18 |
| 1801344924 | Jason Reading | Pharmacist | 133 W Avenue A, Jerome, ID 83338-2630 | 2016-09-19 |
| 1538578687 | Urgent Care of Jerome | Family Medicine | 133 W Avenue A, Suite B, Jerome, ID 83338-2630 | 2014-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700803053 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2680 S Lincoln Ave, Jerome, ID 83338-6128 | 2006-07-16 |
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| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
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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.