HELLS CANYON HEALTH AND WELLNESS PHARMACY (NPI# 1457739989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739989 |
| Entity Type | Organization |
| Organization Name | HELLS CANYON HEALTH AND WELLNESS PHARMACY |
| Other Organization Name | HELLS CANYON HEALTH AND WELLNESS PHARMACY LLC |
| Practice Address |
523 Thain Rd Lewiston ID 83501 |
| Practice Telephone | 2087435515 |
| Practice Fax Number | 2087430333 |
| Mailing Telephone | 2087435515 |
| Mailing Fax Number | 2087430333 |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | CHARLES ANDREW POTTENGER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2087435515 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
38642RP | ID | Suppliers |
| Other Name | Type Code |
|---|---|
| Hells Canyon Health and Wellness Pharmacy LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507761 | Hells Canyon Health and Wellness Pharmacy | Pharmacy | 523 Thain Rd, Lewiston, ID 83501-5530 | 2020-01-16 |
| Street Address |
523 THAIN RD |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022476 | Orchards Pharmacy Inc. | Pharmacist | 523 Thain Rd, Lewiston, ID 83501-5530 | 2006-11-22 |
| 1619507761 | Hells Canyon Health and Wellness Pharmacy | Pharmacy | 523 Thain Rd, Lewiston, ID 83501-5530 | 2020-01-16 |
| 1386050359 | Charles Pottenger | Pharmacist | 523 Thain Rd, Lewiston, ID 83501-5530 | 2014-07-10 |
| 1114132446 | Laura D Heitzman | Pharmacist | 523 Thain Rd, Lewiston, ID 83501-5530 | 2007-05-11 |
| 1265647689 | Eric S Wood | Pharmacist | 523 Thain Rd, Lewiston, ID 83501-5530 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1588176796 | Degiulio's Pharmacy, Inc. | Pharmacy | 220 Portage Rd, Lewiston, NY 14092-1711 | 2017-10-27 |
| 1245381094 | Chastains Incorporated | Pharmacy | 720 16th Ave Ste 1, Lewiston, ID 83501-3768 | 2007-01-16 |
| 1093819815 | Cvs Albany LLC | Pharmacy | 795 Center St, Lewiston, NY 14092-1705 | 2006-09-12 |
| 1831103126 | Lewiston Apothecary, LLC | Pharmacy | 400 Plain St, Lewiston, NY 14092-1627 | 2006-07-29 |
| 1669015244 | Community Health Association of Spokane | Pharmacy | 1203 Idaho St, Lewiston, ID 83501-1940 | 2019-10-25 |
| 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 | ||||
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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.