Organization Active NPI

Legranderx Pharmacy LLC

  • Pharmacy
  • Rexburg, ID
National Provider Identifier
1043878598
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Dr. Charlene Rebecca Hoit, PHARMDNPI 1548682065
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.