TETON PHARMACY OF ST ANTHONY


Address: 104 N Bridge St, Suite 112, Saint Anthony, ID 83445-1455
Phone: 2086244411

TETON PHARMACY OF ST ANTHONY (NPI# 1932635810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932635810
Entity Type Organization
Organization Name TETON PHARMACY OF ST ANTHONY
Practice Address 104 N Bridge St
Suite 112
Saint Anthony
ID 83445-1455
Mailing Address 2470 Jafer Ct
Idaho Falls
ID 83404-5587
Practice Telephone 2086244411
Practice Fax Number 2086244412
Mailing Telephone 2086244411
Mailing Fax Number 2086244412
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Authorized Official Name JASON BAILEY (OWNER)
Authorized Official Telephone 2085293636
Authorized Official Credential PHARM D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
45043LS ID Suppliers

Office Location

Street Address 104 N BRIDGE ST
SUITE 112
City SAINT ANTHONY
State ID
Zip Code 83445-1455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235253808 Northfork Developmental Services Inc. Day Training, Developmentally Disabled Services 104 N Bridge St, Suite #117, Saint Anthony, ID 83445 2007-03-19
1972940229 Vonda Smith Social Worker 104 N Bridge St, #104, Saint Anthony, ID 83445-1455 2013-05-28
1891985826 Back Country Chiropractic Pllc Chiropractor 104 N Bridge St, Suite 104, Saint Anthony, ID 83445-1455 2007-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811419930 Kasey Hendricks Dentist 322 East Main St., St. Anthony, ID 83445 2017-07-11
1104970326 Fremont Joint School District #215 Local Education Agency (LEA) 147 2nd W Street, St. Anthony, ID 83445 2007-01-23
1679738397 Kent A Beesley Dentist 325 E Main St, Saint Anthony, ID 83445 2008-07-22
1518109974 Expressions Supportive Services, LLC Community/Behavioral Health 1076 A S. Yellowstone Hwy, Saint Anthony, ID 83445-0283 2009-04-01
1225294333 Todd F Birch.o.d. Optometrist 45 W 1st N, Saint Anthony, ID 83445-1401 2008-07-29
1346391513 Stephen J. Cheyne General Practice 430 N Bridge St, Saint Anthony, ID 83445-1425 2007-01-15
1952654741 I Care Medical Clinic Pa Physician Assistant 430 N Bridge St, Saint Anthony, ID 83445-1425 2012-10-18
1023288172 Fremont Medical Services PC Clinic/Center 430 N Bridge St, Saint Anthony, ID 83445-1425 2008-03-05
1619095361 Kevin S Bauer Dentist 20 N 3rd E, Saint Anthony, ID 83445-1521 2007-03-27
1861818734 Joshua L Gilgen Physician Assistant 20 N 3rd E, Saint Anthony, ID 83445-1521 2014-03-14
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1841806494 Deblaquiere Enterprises, Inc. Pharmacy 86 Tank Rd, Oldtown, ID 83822-5126 2020-09-18
1043838584 Costco Wholesale Corporation Pharmacy 3403 W Chinden Blvd, Meridian, ID 83646-7151 2020-07-10
1265054324 Costco Wholesale Corporation Pharmacy 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 2020-05-12
1851923544 Rocky Mountain Pharmacy, LLC Pharmacy 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 2020-02-10
1013559269 Timberline Pharmacy Pharmacy 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 2019-10-09
1508420373 K2red LLC Pharmacy 447 N Idaho St, Wendell, ID 83355 2019-04-27
1679039135 Hollis Family Pharmacy LLC Pharmacy 845 S Substation Rd, Emmett, ID 83617 2019-02-20
1598229809 Clearwater Canyon Pharmacy, LLC Pharmacy 13020 Us-12, Orofino, ID 83544 2019-01-31
1861999377 Bi-mart Corporation Pharmacy 11347 W State Street, Star, ID 83669 2018-04-11
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Competitor

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City SAINT ANTHONY
Zip Code 83445

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Dataset Information

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.

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