Ridley'S Family Markets, Inc
Organization Active NPI Community/Retail Pharmacy · Ely, NV
NPI 1023322906 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1023322906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH02113 (NV)
- Legal business name
- RIDLEY'S FAMILY MARKETS, INC
- Practice address
- 6 Steptoe Cir
Ely, NV 89301-2692 - Phone
- (775) 289-3420
- NPI assigned
- Aug 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Cathi B Ketterling
- Title
- Operations Manager
- Phone
- (208) 324-4633
Corporate family (same tax ID) 35
National Provider Directory
- Tax ID family
- Ridley'S Family Markets Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH02113 | NV | Yes |
Addresses
Primary practice location
6 Steptoe Cir
Ely, NV 89301-2692
Mailing address
6 Steptoe Cir
Ely, NV 89301-2692
Phone (208) 324-4633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023322906 | Medicaid | NV | |
| PH02113 | Other | NV | NEVADA STATE PHARMACY LICENSE |
Other names
- Ridley's Clinic Pharmacy
Other providers in Ely, NV
- Kendra Jo Poulsen
- David Harris Pratt
- June L. Prather Puckett
- Shannon Marie Rebiejo
- Mark A. Rhodes
- Ridley'S Family Markets, Inc
- Robertson Optometry LLC
- Kent Mitchell Robertson
- Tyler Robertson
- Natlie Marina Salinas
All providers in Ely, NV · Community/Retail Pharmacy in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.