BI-MART CORPORATION (NPI# 1073537486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073537486 |
| Entity Type | Organization |
| Organization Name | BI-MART CORPORATION |
| Other Organization Name | BI MART PHARMACY #673 |
| Practice Address |
1545 E 6th St Weiser ID 83672-1495 |
| Mailing Address |
Po Box 2310 Attn: Megan Collins Eugene OR 97402-0199 |
| Practice Telephone | 2085498774 |
| Practice Fax Number | 8662731121 |
| Mailing Telephone | 5418681766 |
| Mailing Fax Number | 5413450264 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MR. BRIAN CROOK (VP OF PHARMACY) |
| Authorized Official Telephone | 5418681761 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808194500 | 05 | |
| OR | 247392 | 05 | |
| ID | 807556100 | 05 | |
| NCPDP | 1307669 | 01 | |
| ID | STATE LICENSE | 2106CP | 01 |
| DEA | BW9949100 | 01 |
| Other Name | Type Code |
|---|---|
| BI MART PHARMACY #673 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1891204277 | Bi-mart Corporation | Pharmacy | 1277 E Deer Flat Rd, Kuna, ID 83634-1337 | 2017-09-28 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1215200365 | Bi-mart Corporation | Pharmacy | 248 Wharf Street, Brookings, OR 97415-9653 | 2012-02-21 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1831378272 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2221 1st St., Cheney, WA 99004-2049 | 2007-11-02 |
| 1508941907 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 150 Melton Rd, Creswell, OR 97426-9453 | 2006-10-25 |
| 1649203902 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2030 River Rd, Eugene, OR 97404-2504 | 2006-07-09 |
| 1003849365 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2272 Santiam Hwy Se, Albany, OR 97322-5205 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BI-MART CORPORATION | 220 Seneca Rd, Eugene, OR 97402 |
| Oregon Corporations, Companies and Business Names | BI-MART CORPORATION | 220 S Seneca Rd, Eugene, OR 97402 |
| Street Address |
1545 E 6TH ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| 1285259762 | Kassie Lee Allen | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| 1689299380 | Karla Fischer | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-09 |
| 1902421613 | Dann Henry Brugger | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-09 |
| 1003430943 | Alicia Gonzalez | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-06 |
| 1235753179 | Anika Garcia | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-06 |
| 1720532260 | Damon Cole Dejulis | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2016-08-13 |
| 1013272467 | Chase Wadsworth | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-07-11 |
| 1861765158 | William Robin Peale | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-02-16 |
| 1982977674 | David Quinn Youngblood | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1528220795 | Suzan L Peterson | Physical Therapist | 360 Pioneer Rd, Weiser, ID 83672-1550 | 2008-06-30 |
| 1780222190 | Joshua Carl Stephenson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-12-16 |
| Find all providers in zip 83672 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1841806494 | Deblaquiere Enterprises, Inc. | Pharmacy | 86 Tank Rd, Oldtown, ID 83822-5126 | 2020-09-18 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1851923544 | Rocky Mountain Pharmacy, LLC | Pharmacy | 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 | 2020-02-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1508420373 | K2red LLC | Pharmacy | 447 N Idaho St, Wendell, ID 83355 | 2019-04-27 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 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.