Active NPI
Legranderx Pharmacy LLC
- Pharmacy
- Rexburg, ID
National Provider Identifier
1043878598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LEGRANDERX PHARMACY LLC
- Practice address
- 343 E 4TH N Ste 126
Rexburg, ID 83440-6004 - Phone
- (855) 534-7263
- Fax
- (208) 421-9792
- NPI assigned
- May 30, 2019
- Last updated
- May 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlene Rebecca Hoit, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (509) 953-6863
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
343 E 4TH N Ste 126
Rexburg, ID 83440-6004
Mailing address
343 E 4TH N Ste 126
Rexburg, ID 83440-6004
Phone (855) 534-7263
National Provider Directory
National Provider DirectoryLocations
343 E 4th N
Ste 126
Rexburg, ID 83440
Phone (855) 534-7263
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Medford, OR
- NPI 1548682065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1043878598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 E 4TH N STE 126",
"city": "REXBURG",
"state": "ID",
"postal_code": "834406004",
"telephone_number": "855-534-7263",
"fax_number": "208-421-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 E 4TH N STE 126",
"city": "REXBURG",
"state": "ID",
"postal_code": "834406004",
"telephone_number": "855-534-7263",
"fax_number": "208-421-9792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGRANDERX PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "HOIT",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "509-953-6863",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.