Organization Active NPI

Craft Pharmacy and Clinic, LLC

  • Community/Retail Pharmacy
  • Pocatello, ID
National Provider Identifier
1023707239
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CRAFT PHARMACY AND CLINIC, LLC
Practice address
707 N 12TH Ave
Pocatello, ID 83201-4742
Phone
(208) 705-7812
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Toni Cantrell, PHARMDNPI 1275774465
Title
Pharmacist/Owner
Phone
(208) 233-1719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

707 N 12TH Ave
Pocatello, ID 83201-4742

Mailing address

707 N 12TH Ave
Pocatello, ID 83201-4742
Phone (208) 233-1719

National Provider Directory

National Provider Directory

Locations

707 N 12th Ave
Pocatello, ID 83201
Phone (208) 228-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1023707239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N 12TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014742",
            "telephone_number": "208-233-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N 12TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014742",
            "telephone_number": "208-705-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT PHARMACY AND CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "208-233-1719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.