SUNNYSIDE DRUG (NPI# 1871748012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871748012 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE DRUG |
| Practice Address |
805 E Mullan Ave Osburn ID 83849 |
| Practice Telephone | 2085561139 |
| Mailing Telephone | 2085561139 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | RON LAVIGNE (PRESIDENT) |
| Authorized Official Telephone | 2085561139 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSBURN DRUG COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 13-02354489 | ID | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SUNNYSIDE DRUGS INC. | 39-16 47th Avenue, Sunnyside, Ny 11104 |
| Street Address |
805 E MULLAN AVE |
| City | OSBURN |
| State | ID |
| Zip Code | 83849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475385 | Rathrum Drug | Durable Medical Equipment & Medical Supplies | 805 E Mullan Ave, Osburn, ID 83849 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130074 | Shoshone County Ambulance Service District | Ambulance | 58738 Silver Valley Road, Osburn, ID 83849 | 2020-09-25 |
| 1255874491 | Loving Care & More Home Medical LLC | Durable Medical Equipment & Medical Supplies | 630 E. Mullan Ave., Suite A, Osburn, ID 83849 | 2016-11-21 |
| 1427401397 | Safeline Transport | Non-emergency Medical Transport (VAN) | 107 W. Cameron, Osburn, ID 83849 | 2016-07-15 |
| 1659768034 | Mark Aldor Ellingson | Pharmacist | 805 Mullan Avenue, Box 2170, Osburn, ID 83849 | 2015-04-23 |
| 1891885844 | Osburn Drug | Pharmacy | 805 Mullan Ave., Osburn, ID 83849 | 2006-10-13 |
| 1144300906 | Dorchuck Medical Inc | Physical Therapist | 801 E Mullan Avenue, Osburn, ID 83849-0596 | 2006-10-16 |
| 1700977170 | Anthony J Branz | Family Medicine | 801 E Mullan Avenue, Osburn, ID 83849-0707 | 2006-09-28 |
| 1821142530 | Anthony J Branz Md PC | Family Medicine | 801 E Mullan Avenue, Osburn, ID 83849-0707 | 2007-01-22 |
| 1982665428 | Osburn Drug Co | Durable Medical Equipment & Medical Supplies | 805 E Mullan Ave., Osburn, ID 83849-2170 | 2006-03-31 |
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874491 | Loving Care & More Home Medical LLC | Durable Medical Equipment & Medical Supplies | 630 E. Mullan Ave., Suite A, Osburn, ID 83849 | 2016-11-21 |
| 1144475385 | Rathrum Drug | Durable Medical Equipment & Medical Supplies | 805 E Mullan Ave, Osburn, ID 83849 | 2008-12-01 |
| 1982665428 | Osburn Drug Co | Durable Medical Equipment & Medical Supplies | 805 E Mullan Ave., Osburn, ID 83849-2170 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 Ne 10th Ave Ste P1, Payette, ID 83661-5420 | 2020-01-21 |
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
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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.