BOUNDARY COMMUNITY HOSPITAL PHARMACY (NPI# 1568517811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568517811 |
| Entity Type | Organization |
| Organization Name | BOUNDARY COMMUNITY HOSPITAL PHARMACY |
| Other Organization Name | BOUNDARY COMMUNITY HOSPITAL PHARMACY |
| Practice Address |
6640 Kaniksu St Bonners Ferry ID 83805-7532 |
| Practice Telephone | 2082673141 |
| Practice Fax Number | 2082672862 |
| Mailing Telephone | 2082673141 |
| Mailing Fax Number | 2082672862 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | PRESTON J BECKER (CEO) |
| Authorized Official Telephone | 2082674850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
745HP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002810400 | 05 | |
| PK | 2020837 | 01 |
| Other Name | Type Code |
|---|---|
| BOUNDARY COMMUNITY HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
6640 KANIKSU ST |
| City | BONNERS FERRY |
| State | ID |
| Zip Code | 83805-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896683 | Boundary Community Hospital | General Acute Care Hospital | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2005-07-22 |
| 1912367251 | Jeffrey Petersen | Physical Therapist | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2016-02-29 |
| 1124432943 | Mark Pruitt | Emergency Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805 | 2014-06-19 |
| 1942566195 | Edward Gregory Moellmer | Family Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2012-04-02 |
| 1316250244 | Providence Health & Services - Boundary Community Hospital | Internal Medicine | 6640 Kaniksu St, Out Patient Dept. Lower Level, Bonners Ferry, ID 83805-7532 | 2010-07-20 |
| 1861609588 | Edna Faye Eby | Dietitian, Registered | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-05-16 |
| 1215082565 | Boundary Community Hospital | Pharmacy | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-01-25 |
| 1679621098 | Boundary Community Hospital | Family Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-01-08 |
| 1679649396 | Stuart Kendall Willis IIi | Emergency Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-11-27 |
| 1316022247 | Boundary Community Hospital | Medicare Defined Swing Bed Unit | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
| 1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
| 1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
| 1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
| 1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
| 1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
| 1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
| 1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
| 1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
| 1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
| Find all providers in zip 83805 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1255622825 | St. Luke's Boise Medical Center | Pharmacy | 190 E Bannock St, Inpatient Pharmacy, Boise, ID 83712-6241 | 2011-04-29 |
| 1215228911 | St Luke's Meridian Inpt Pharmacy | Pharmacy | 520 S Eagle Rd, Attn: Basement, Meridian, ID 83642-6351 | 2011-04-28 |
| 1447439666 | Clearwater Valley Hospital and Clinics Pharmacy | Pharmacy | 301 Cedar St, Orofino, ID 83544-9029 | 2007-10-25 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1265559314 | State of Idaho-dba Idaho State School & Hospital Pharmacy | Pharmacy | 1660 11th Ave N, Nampa, ID 83687-5000 | 2007-03-23 |
| 1699814574 | Bear Lake County Memorial Hospital | Pharmacy | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-02-06 |
| 1932154705 | St. Luke's Magic Valley Regional Medical Center, Ltd. | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2006-05-23 |
| City | BONNERS FERRY |
| Zip Code | 83805 |
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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.