NORTHWEST PHARMACY (NPI# 1144356494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144356494 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PHARMACY |
| Other Organization Name | NORTHWEST PHARMACY |
| Practice Address |
535 Pine St Ste 9 Potlatch ID 83855-9700 |
| Mailing Address |
Po Box 657 Potlatch ID 83855-0657 |
| Practice Telephone | 2088751212 |
| Practice Fax Number | 2088750859 |
| Mailing Telephone | 2088751212 |
| Mailing Fax Number | 2088750859 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | WIL O EDWARDS (PHARMACIST) |
| Authorized Official Telephone | 2088751212 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST PHARMACY SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 814CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | THE REGENCE GROUP | 000010013771 | 01 |
| ID | 805885600 | 05 | |
| ID | BLUE CROSS OF IDAHO | 8G734 | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST PHARMACY CONSULTING | 21748 Boonesborough Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | NORTHWEST PHARMACY CONSULTING, LLC | 21748 Boones Borough Dr, Bend, OR 97701 |
| Washington State Corporations | NORTHWEST PHARMACY SERVICES | 107 N Meridian Ste 100, Puyallup, WA 98373 |
| Washington State Corporations | NORTHWEST PHARMACY SERVICES, INC. | 535 Pine St Ste 9, Potlatch, ID 83855-9700 |
| Street Address |
535 PINE ST STE 9 |
| City | POTLATCH |
| State | ID |
| Zip Code | 83855-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040693 | Northwest Pharmacy Services, Inc. | Pharmacy | 535 Pine St Ste 9, Potlatch, ID 83855-9700 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854508 | Allison Lea Zimms | Massage Therapist | 635 Larch Street, Potlatch, ID 83855 | 2019-10-28 |
| 1558817494 | Suzanne Paul | Family Medicine | 325 Larch Street, Potlatch, ID 83855 | 2016-08-31 |
| 1245515832 | Potlatch Family Dental, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2011-10-15 |
| 1053504829 | Potlatch Rural Fire Dist | Ambulance | 512 Pine Street, Potlatch, ID 83855 | 2007-08-24 |
| 1285776112 | County of Latah 285 School District | Local Education Agency (LEA) | 136th Street, Potlatch, ID 83855 | 2007-02-14 |
| 1962573444 | Michael S. Hess | Pharmacist | 525 Pine St, Potlatch, ID 83855 | 2006-11-13 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1689661050 | Charlotte S Ainge | Physician Assistant | 156 N. 6th St, Potlatch, ID 83855 | 2005-09-30 |
| 1669866612 | Dan Lawson Dds, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2015-03-26 |
| 1982955779 | Jennifer L Davis | Physician Assistant | 225 6th St, Potlatch, ID 83855 | 2012-09-20 |
| Find all providers in zip 83855 | ||||
| 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 |
| 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.