RIDLEYS FAMILY MARKETS INC (NPI# 1548681877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548681877 |
Entity Type | Organization |
Organization Name | RIDLEYS FAMILY MARKETS INC |
Other Organization Name | RIDLEY'S PHARMACY #1165 |
Practice Address |
4045 E Pony Express Pkwy Eagle Mountain UT 84005-5512 |
Mailing Address |
621 Washington St S Twin Falls ID 83301-5519 |
Practice Telephone | 8017894997 |
Practice Fax Number | 8017894993 |
Mailing Telephone | 2083244633 |
Mailing Fax Number | 2083241190 |
Enumeration Date | 2014-01-06 |
Last Update Date | 2018-07-19 |
Authorized Official Name | TODD WISE (PHARMACY DIRECTOR) |
Authorized Official Telephone | 8013583365 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
87123051703 | UT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2143719 | 01 | |
UT | 1548681877 | 05 |
Other Name | Type Code |
---|---|
Ridley's Pharmacy #1165 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710358304 | Ridleys Family Markets Inc | Pharmacy | 1125 W Winnemucca Blvd, Winnemucca, NV 89445-3636 | 2015-10-08 |
1609196351 | Ridleys Family Markets Inc | Pharmacy | 705 Highway 30, Buhl, ID 83316-5054 | 2010-06-04 |
1861712457 | Ridleys Family Markets Inc | Pharmacy | 9732 W State St, Star, ID 83669-5766 | 2010-06-04 |
1518148055 | Ridleys Family Markets Inc | Pharmacy | 169 Coffeen Ave, Sheridan, WY 82801-4804 | 2007-11-26 |
1891909198 | Ridleys Family Markets Inc | Pharmacy | 341 East Pine St, Pinedale, WY 82941 | 2007-05-09 |
1033245436 | Ridleys Family Markets Inc | Pharmacy | 652 E 1st St, Weiser, ID 83672-2200 | 2007-02-27 |
1124155577 | Ridleys Family Markets Inc | Pharmacy | 430 E Main St, Middleton, ID 83644-3036 | 2007-02-27 |
1811900731 | Ridleys Family Markets Inc | Pharmacy | 145 N Harrisville Rd, Ogden, UT 84404-3927 | 2006-08-14 |
1871539643 | Ridleys Family Markets Inc | Pharmacy | 300 Se Wyoming Blvd, Casper, WY 82609-4201 | 2006-06-21 |
1073895918 | Ridleys Family Markets Inc | Pharmacy | 275 E 300 N, Morgan, UT 84050-9520 | 2011-09-16 |
Street Address |
4045 E PONY EXPRESS PKWY |
City | EAGLE MOUNTAIN |
State | UT |
Zip Code | 84005-5512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720647720 | Erwin M Lass | Pharmacist | 4045 E Pony Express Pkwy, Eagle Mountain, UT 84005-5512 | 2019-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922573856 | Eagle Mountain Children's Dentistry Pllc | Clinic/Center | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT 84005 | 2018-10-08 |
1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
1376050682 | Bell Adult Healthcare and Wellness Pllc | Nurse Practitioner | 4719 E Silver Creek Way, Eagle Mountain, UT 84005 | 2018-01-08 |
1891201794 | Breaking Barriers Therapy Services LLC | Speech-Language Pathologist | 3756 E Barton Creek Dr, Eagle Mountain, UT 84005 | 2017-12-14 |
1346770617 | Mallory Lynn Hansen | Speech-Language Pathologist | 8981 N Skye Loop, Eagle Mountain, UT 84005 | 2017-06-19 |
1609315480 | Pony Express Dental LLC | Clinic/Center | 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 | 2017-02-14 |
1609130418 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 Prarie View Drive, Eagle Mountain, UT 84005 | 2012-06-26 |
1760763411 | Elizabeth A Pritt | Physician Assistant | 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 | 2011-09-07 |
1902101587 | Benjamin Dean Jones | Social Worker | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2011-01-13 |
1407182892 | Jacob Chase Fowler | Pharmacist | 3435 E Pony Express Pkwy Ste 150, Eagle Mountain, UT 84005 | 2009-10-20 |
Find all providers in zip 84005 |
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 |
---|---|---|---|---|
1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
Find all providers with the same taxonomy |
City | EAGLE MOUNTAIN |
Zip Code | 84005 |
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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.