VETERANS PHARMA INCORPORATED (NPI# 1346680683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346680683 |
| Entity Type | Organization |
| Organization Name | VETERANS PHARMA INCORPORATED |
| Other Organization Name | PREMIUM RX SERVICES |
| Practice Address |
9196 W Emerald St Suite 110 Boise ID 83704-0679 |
| Practice Telephone | 2083231259 |
| Practice Fax Number | 2083235666 |
| Mailing Telephone | 2083231259 |
| Mailing Fax Number | 2083235666 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | DEREK MOLYNEUX (PHARMACY MANAGER) |
| Authorized Official Telephone | 2083231259 |
| Authorized Official Credential | PHARMD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Premium Rx Services | Doing Business As Name - Organization |
| Street Address |
9196 W EMERALD ST SUITE 110 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966229 | Innovative Care Pharmacy | Pharmacy | 9196 W Emerald St, Ste 110, Boise, ID 83704-0679 | 2006-08-30 |
| 1639601339 | Maggie Benedetti | Social Worker | 9196 W Emerald St, Ste. 135, Boise, ID 83704-0679 | 2017-03-31 |
| 1558722520 | Kyley Jo Trausch | Social Worker | 9196 W Emerald St, Suite 135, Boise, ID 83704-0679 | 2016-03-17 |
| 1477936136 | Kathryn List | Counselor | 9196 W Emerald St, Suite 135, Boise, ID 83704-0679 | 2015-06-30 |
| 1003112053 | David Lyn Harrison | Pharmacist | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2011-02-08 |
| 1124324207 | George W Drashner | Pharmacist | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1386985851 | Jfk Clinic | Pharmacy | 150 N Capitol Blvd, Boise, ID 83702-5920 | 2013-03-08 |
| 1588743058 | Z Inc | Pharmacy | 10565 Lake Hazel Rd, Boise, ID 83709 | 2006-11-03 |
| 1346267697 | Walmart Inc. | Pharmacy | 7319 W State St, Boise, ID 83714-6051 | 2006-07-16 |
| 1376588442 | Fred Meyer Stores Inc | Pharmacy | 5230 W Franklin Rd, Boise, ID 83705-1109 | 2006-06-20 |
| 1255379491 | Albertsons LLC | Pharmacy | 1653 S Vista Ave, Boise, ID 83705 | 2006-06-02 |
| 1003862517 | Albertsons LLC | Pharmacy | 6560 S Federal Way, Boise, ID 83716 | 2006-05-26 |
| 1346236650 | Home Living Services, Inc | Pharmacy | 106 S Cole Rd, Boise, ID 83709-0932 | 2005-09-22 |
| 1538534078 | Medsync Pharmacy | Pharmacy | 801 S Vista Ave, Boise, ID 83705-2424 | 2015-12-09 |
| 1891047791 | The Family Medicine Residency of Idaho Inc | Pharmacy | 6565 W Emerald St, Boise, ID 83704-8737 | 2012-10-03 |
| 1649332768 | St Luke's Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2006-12-14 |
| Find all providers in BOISE | ||||
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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.