CONTINUED CARE LTC PHARMACY IDAHO LLC (NPI# 1609430479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609430479 |
| Entity Type | Organization |
| Organization Name | CONTINUED CARE LTC PHARMACY IDAHO LLC |
| Practice Address |
8601 W Emerald St Ste 176 Boise ID 83704-8297 |
| Mailing Address |
Po Box 1250 Riverton UT 84065-1250 |
| Practice Telephone | 8885574318 |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2019-04-27 |
| Authorized Official Name | BRANDON HAGEN (GENERAL MANAGER) |
| Authorized Official Telephone | 8885574318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Continued Care LTC Pharmacy Idaho LLC | 3895 Upham Street Ste 80, Wheat Ridge, CO 80033 |
| Street Address |
8601 W EMERALD ST STE 176 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 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 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1225668957 | Chemist Prime LLC | Pharmacy | 222 N Maple Grove Rd, Boise, ID 83704-8239 | 2020-01-22 |
| 1912930587 | Pharmerica Drug Systems Inc | Pharmacy | 8211 Ustick Rd, Boise, ID 83704-5756 | 2006-07-08 |
| 1528055324 | Innovative Care Pharmacy | Pharmacy | 9196 E Emerald St, Ste 110, Boise, ID 83704 | 2005-10-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONTINUED CARE LTC PHARMACY IDAHO LLC.
| 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.