CARDINAL HEALTH 132 LLC (NPI# 1164966271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164966271 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH 132 LLC |
| Other Organization Name | SYRINGA CLINIC PHARMACY |
| Practice Address |
607 W Main St Suite 100 Grangeville ID 83530-1345 |
| Practice Telephone | 2084943052 |
| Practice Fax Number | 2089831915 |
| Mailing Telephone | 2084943052 |
| Mailing Fax Number | 2089831915 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES) |
| Authorized Official Telephone | 2817494764 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARDINAL HEALTH 132, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
43791RP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166665 | 01 |
| Other Name | Type Code |
|---|---|
| Syringa Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1427500941 | Cardinal Health 132 LLC | Pharmacy | 49 Rock Springs, Suite 800, Conowingo, MD 21918 | 2016-11-01 |
| 1144671504 | Cardinal Health 132 LLC | Pharmacy | 215 N Coleman St Ste 100, Swainsboro, GA 30401-3530 | 2016-06-28 |
| 1558719252 | Cardinal Health 132 LLC | Pharmacy | 785 W Sherman Ave Ste 100, Vineland, NJ 08360-6913 | 2016-06-03 |
| 1417460601 | Cardinal Health 132 LLC | Pharmacy | 220 Passaic St, Suite 125-a, Passaic, NJ 07055-6400 | 2017-11-09 |
| 1043762230 | Cardinal Health 132 LLC | Pharmacy | 39 East Ave, Suite 100, Pawtucket, RI 02860-4003 | 2016-11-04 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1487100475 | Cardinal Health 132 LLC | Pharmacy | 136 Health Park Dr, Mena, AR 71953-9072 | 2016-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cardinal Health 132 LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Cardinal Health 132 LLC | 1330 Enclave Pkwy, Houston, Texas 77077 |
| Street Address |
607 W MAIN ST SUITE 100 |
| City | GRANGEVILLE |
| State | ID |
| Zip Code | 83530-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499010 | Daniel C Griffis | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2005-12-29 |
| 1235745365 | Katie Francis Nemeth | Physician Assistant | 607 W Main St, Grangeville, ID 83530-1345 | 2020-09-23 |
| 1306460852 | Susan Christine Smith | Registered Nurse | 607 W Main St, Grangeville, ID 83530-1345 | 2020-06-01 |
| 1164872115 | Kelby Jon Wilson | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2016-06-20 |
| 1295189041 | Julie Hammatt | Registered Nurse | 607 W Main St, Grangeville, ID 83530-1345 | 2016-04-19 |
| 1609255116 | Michael Matthews | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2015-05-29 |
| 1588069678 | Syringa General Hospital District Cif | Clinic/Center | 607 W Main St, Grangeville, ID 83530-1345 | 2014-10-31 |
| 1205252483 | Melissa Lane | Physical Therapist | 607 W Main St, Grangeville, ID 83530-1345 | 2014-03-11 |
| 1225396211 | Jennifer Carrie Lesso | Registered Nurse | 607 W Main St, Grangeville, ID 83530-1345 | 2012-04-26 |
| 1073802492 | Syringa General Hospital District Cif | Clinic/Center | 607 W Main St, Grangeville, ID 83530-1345 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197424 | Tolo Tranportation LLC | Non-emergency Medical Transport (VAN) | 78 Poor Farm Rd, Grangeville, ID 83530 | 2016-07-25 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1528468139 | Joanne M Belch | Counselor | 83 Highway 95 North, Camas Professional Counseling, Grangeville, ID 83530 | 2014-09-02 |
| 1679875462 | Oi Min Anthony Chai | Physical Therapist | 183 Farrens Creek Lane, Grangeville, ID 83530 | 2010-11-30 |
| 1346569647 | Valleyview Recovery | Case Management | 109 S. Mill St., Grangeville, ID 83530 | 2010-05-26 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1659452019 | Bradley J Schaff | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| 1518051366 | Wayne L Hollopeter | Family Medicine | 721 W. North Street, Grangeville, ID 83530 | 2006-10-03 |
| 1417252719 | Syringa General Hospital District Cif | General Acute Care Hospital | 607 West Main Street, Grangeville, ID 83530 | 2011-01-18 |
| 1669553020 | Allen Raymond Chenoweth | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| Find all providers in zip 83530 | ||||
| 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 |
|---|---|---|---|---|
| 1245346436 | Asker's Thrift Inc | Pharmacy | 415 W Main St, Grangeville, ID 83530-1497 | 2006-08-22 |
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| 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 | ||||
| City | GRANGEVILLE |
| Zip Code | 83530 |
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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.