DEBLAQUIERE ENTERPRISES, INC. (NPI# 1285621136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285621136 |
| Entity Type | Organization |
| Organization Name | DEBLAQUIERE ENTERPRISES, INC. |
| Other Organization Name | WHITE CROSS PHARMACY PRIEST RIVER |
| Practice Address |
5453 Highway 2 Priest River ID 83856 |
| Mailing Address |
Po Box 458 Priest River ID 83856-0458 |
| Practice Telephone | 2084481633 |
| Practice Fax Number | 2084481728 |
| Mailing Telephone | 2084481633 |
| Mailing Fax Number | 2084481728 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | SHANNON MCGLASHAN (CORP. SECRETARY) |
| Authorized Official Telephone | 2084481633 |
| 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 | DEA LICENSE | AW7540188 | 01 |
| ID | 002464700 | 05 | |
| ID | 002464600 | 05 |
| Other Name | Type Code |
|---|---|
| White Cross Pharmacy Priest River | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806494 | Deblaquiere Enterprises, Inc. | Pharmacy | 86 Tank Rd, Oldtown, ID 83822-5126 | 2020-09-18 |
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| Street Address |
5453 HIGHWAY 2 |
| City | PRIEST RIVER |
| State | ID |
| Zip Code | 83856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702227 | Richard Allan De Blaquiere | Pharmacist | 5453 Highway 2, Priest River, ID 83856 | 2005-10-03 |
| 1780170480 | Thomas Vanderholm | Pharmacist | 5453 Highway 2, Priest River, ID 83856 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1104316785 | Pend Oreille Vision Care | Clinic/Center | 6132 Highway 2, Priest River, ID 83856 | 2018-05-18 |
| 1700209061 | Sequel Alliance Family Services, LLC | Counselor | 5486 Highway 2 Ste102, Priest River, ID 83856 | 2014-01-22 |
| 1801035878 | Albeni-selkirk Counseling Services | Community/Behavioral Health | 310 Albeni Rd., Ste. B, Priest River, ID 83856 | 2009-02-13 |
| 1679764898 | Healing Partners Equestrian Program | Community/Behavioral Health | 1605 Hoodoo Mt. Road, Priest River, ID 83856 | 2007-08-05 |
| 1710191796 | Delores Dianne Miller | Massage Therapist | 208 9th, Priest River, ID 83856 | 2007-05-09 |
| 1639382419 | Ken Miller | Massage Therapist | 208 Ninth St, Priest River, ID 83856 | 2007-05-08 |
| 1861619520 | Alliance Family Services North, Inc. | Community/Behavioral Health | 5486 Highway 2, Ste. 102, Priest River, ID 83856 | 2007-04-20 |
| 1376681460 | Lynne Anne Certain | Counselor | 301 Albeni Rd., Suite C, Priest River, ID 83856 | 2007-02-02 |
| 1407070519 | West Bonner County School District #83 | Local Education Agency (LEA) | 418 Harriet, Priest River, ID 83856-0489 | 2007-04-12 |
| Find all providers in zip 83856 | ||||
| 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 | ||||
| City | PRIEST RIVER |
| Zip Code | 83856 |
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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.