INNOVATIVE CARE PHARMACY


Address: 9196 E Emerald St, Ste 110, Boise, ID 83704
Phone: 2083231259

INNOVATIVE CARE PHARMACY (NPI# 1528055324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528055324
Entity Type Organization
Organization Name INNOVATIVE CARE PHARMACY
Other Organization Name INNOVATIVE CARE PHARMACY LLC
Practice Address 9196 E Emerald St
Ste 110
Boise
ID 83704
Practice Telephone 2083231259
Practice Fax Number 2083235666
Mailing Telephone 2083231259
Mailing Fax Number 2083238934
Enumeration Date 2005-10-05
Last Update Date 2013-05-07
Authorized Official Name BRAD LANHAM (PRESIDENT/CEO)
Authorized Official Telephone 8173286421
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
2304LS ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ID 80668600 05
PK 2021877 01

Other Provider/Organization Names

Other Name Type Code
INNOVATIVE CARE PHARMACY LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407966229 Innovative Care Pharmacy Pharmacy 9196 W Emerald St, Ste 110, Boise, ID 83704-0679 2006-08-30

Office Location

Street Address 9196 E EMERALD ST
STE 110
City BOISE
State ID
Zip Code 83704

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1912930587 Pharmerica Drug Systems Inc Pharmacy 8211 Ustick Rd, Boise, ID 83704-5756 2006-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144842600 Deblaquiere Enterprises, Inc. Pharmacy 1319 Hwy 2, Suite A, Sandpoint, ID 83864 2020-05-07
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
1861616740 Keymed, Inc Pharmacy 426 W Lewis St, Pocatello, ID 83204-3218 2007-04-12
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
1992731533 Lobos Acquisition LLC Pharmacy 320 E Corporate Dr, #320, Meridian, ID 83642-3510 2006-06-24
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Competitor

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City BOISE
Zip Code 83704

Improve Information

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Dataset Information

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.

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