VICS FAMILY PHARMACY INC (NPI# 1255329405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255329405 |
| Entity Type | Organization |
| Organization Name | VICS FAMILY PHARMACY INC |
| Practice Address |
1513 12th Ave Rd Nampa ID 83686-6008 |
| Practice Telephone | 2084657000 |
| Practice Fax Number | 2084657091 |
| Mailing Telephone | 2084657000 |
| Mailing Fax Number | 2084657091 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | MR. VICTOR F ALLEN (OWNER PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2084657000 |
| Authorized Official Credential | BPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 800CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 1304790 | 01 | |
| ID | BOARD OF PHARMACY | 800CP | 01 |
| ID | 804169900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861780330 | Vics Family Pharmacy Inc | Pharmacy | 118 S Midland Blvd, Nampa, ID 83686-2601 | 2011-07-18 |
| Street Address |
1513 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306214275 | Jennifer Roe | Pharmacist | 1513 12th Ave Rd, Nampa, ID 83686-6008 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1144392929 | Z Inc | Pharmacy | 407 12th Ave Rd, Nampa, ID 83686-5016 | 2006-11-15 |
| 1487747820 | Johns Medic Pharmacy | Pharmacy | 523 11th Ave N, Nampa, ID 83687-3442 | 2006-09-30 |
| 1114973039 | Albertsons LLC | Pharmacy | 715 12th Ave S, Nampa, ID 83651-4254 | 2006-05-25 |
| 1780117259 | St Lukes Nampa Medical Center Ltd | Pharmacy | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2017-04-11 |
| 1295847135 | Reddish Pharmacy Inc | Pharmacy | 215 E Hawaii Ave, Ste 100, Nampa, ID 83686-6011 | 2006-08-31 |
| 1952332009 | K Mart Corp | Pharmacy | 1813 Caldwell Blvd, Nampa, ID 83651-1505 | 2006-07-06 |
| 1295780815 | Shopko Stores Operating Co LLC | Pharmacy | 2100 Caldwell Blvd, Nampa, ID 83651-1510 | 2006-05-23 |
| 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 | ||||
Please comment or provide details below to improve the information on VICS FAMILY PHARMACY INC.
| 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.