KEYMED INC (NPI# 1487698171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487698171 |
| Entity Type | Organization |
| Organization Name | KEYMED INC |
| Other Organization Name | SNAKE RIVER LONG TERM CARE PHARMACY |
| Practice Address |
1023 Yellowstone Ave Ste J Pocatello ID 83201-4478 |
| Mailing Address |
1465 Bannock Hwy Pocatello ID 83204-5077 |
| Practice Telephone | 2082332444 |
| Practice Fax Number | 2082333439 |
| Mailing Telephone | 2082332444 |
| Mailing Fax Number | 2082333439 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MR. BRIAN LUNT (PRESIDENT) |
| Authorized Official Telephone | 2082332444 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
1901LS | ID | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
44701LS | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807012000 | 05 |
| Other Name | Type Code |
|---|---|
| Snake River Long Term Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
1023 YELLOWSTONE AVE STE J |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840754 | Tracy Michelle Coffman | Pharmacist | 1023 Yellowstone Ave Ste J, Pocatello, ID 83201-4478 | 2020-01-22 |
| 1972710564 | John P Condron | Counselor | 1023 Yellowstone Ave Ste J, Pocatello, ID 83201-4478 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1861616740 | Keymed, Inc | Pharmacy | 426 W Lewis St, Pocatello, ID 83204-3218 | 2007-04-12 |
| 1023004348 | Home Living Services Inc | Pharmacy | 436 E Bonneville St, Pocatello, ID 83201-6406 | 2005-09-22 |
| 1134783202 | Maag Prescription Center LLC | Pharmacy | 333 W Center St, Pocatello, ID 83204-3243 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1225668957 | Chemist Prime LLC | Pharmacy | 222 N Maple Grove Rd, Boise, ID 83704-8239 | 2020-01-22 |
| 1609430479 | Continued Care Ltc Pharmacy Idaho LLC | Pharmacy | 8601 W Emerald St Ste 176, Boise, ID 83704-8297 | 2019-04-27 |
| 1609365345 | Cd Pharmacy LLC | Pharmacy | 2370 S Titanium Pl, Meridian, ID 83642-6867 | 2018-05-08 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1750442315 | State of Idaho | Pharmacy | 700 East Alice Street, Blackfoot, ID 83221 | 2006-12-13 |
| 1316029184 | Tnt Apothecary LLC | Pharmacy | 280 S Idaho St, Wendell, ID 83355-5200 | 2006-10-20 |
| 1689768145 | Chastains Incorporated | Pharmacy | 720 16th Ave, Suite 2, Lewiston, ID 83501-3768 | 2006-10-02 |
| 1750498044 | Marketime Drug of Moscow Inc | Pharmacy | 209 East Third St, Moscow, ID 83843 | 2006-08-24 |
| 1760494033 | Pharmerica Mountain LLC | Pharmacy | 2950 E Magic View Dr Ste 190, Meridian, ID 83642 | 2006-08-13 |
| 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.