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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
45043LS | ID | Suppliers |
Street Address |
104 N BRIDGE ST SUITE 112 |
City | SAINT ANTHONY |
State | ID |
Zip Code | 83445-1455 |
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 |
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 |
Find all providers in zip 83445 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
Find all providers with the same taxonomy |
City | SAINT ANTHONY |
Zip Code | 83445 |
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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.