PHARMEASE LLC (NPI# 1740265420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740265420 |
| Entity Type | Organization |
| Organization Name | PHARMEASE LLC |
| Other Organization Name | HEARTLAND PHARMACY |
| Practice Address |
3250 E 17th St Ammon ID 83406-6758 |
| Mailing Address |
1790 Sabin Dr Ammon ID 83406-6747 |
| Practice Telephone | 2085527677 |
| Practice Fax Number | 2085522098 |
| Mailing Telephone | 2084973575 |
| Mailing Fax Number | 2085522103 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | REECE CHRISTENSEN (CEO) |
| Authorized Official Telephone | 2084973575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
1624LS | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806143700 | 05 | |
| MT | 0212857 | 05 | |
| PK | 2021757 | 01 | |
| UT | 1740265420 | 05 |
| Other Name | Type Code |
|---|---|
| HEARTLAND PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771747 | Pharmease LLC | Pharmacist | 8455 W Emerald St, Boise, ID 83704-8306 | 2005-12-21 |
| 1487918561 | Pharmease LLC | Pharmacy | 8599 Prairie Trail Dr, Ste A300, Englewood, CO 80112-7100 | 2012-07-03 |
| 1548423338 | Pharmease LLC | Durable Medical Equipment & Medical Supplies | 3250 E 17th St, Ammon, ID 83406-6758 | 2008-07-02 |
| 1710056445 | Pharmease LLC | Pharmacy | 8455 W Emerald St, Boise, ID 83704-8306 | 2006-11-07 |
| Street Address |
3250 E 17TH ST |
| City | AMMON |
| State | ID |
| Zip Code | 83406-6758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079281 | Spencer Louis Dietz | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2019-02-12 |
| 1851872436 | Amanda Kay Whitmill | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2018-08-22 |
| 1952888372 | Lisa J Cowley | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2018-07-27 |
| 1043760648 | Bruce Webb | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2016-10-06 |
| 1912308438 | Derik C Christensen | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2014-09-16 |
| 1205170420 | Karleen L Lynes | Pharmacist | 3250 E 17th St, Ammon, ID 83406-6758 | 2012-11-15 |
| 1548423338 | Pharmease LLC | Durable Medical Equipment & Medical Supplies | 3250 E 17th St, Ammon, ID 83406-6758 | 2008-07-02 |
| 1609800937 | Eastgate Drug | Pharmacy | 3250 E 17th St, Ammon, ID 83406-6758 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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.