NPIMap

Organization Active NPI

Pharmacy Shop Inc

Doing business as Snell's Pharmacy Shop

  • Pharmacy
  • Pocatello, ID
National Provider Identifier
1053012708
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PHARMACY SHOP INC
Doing business as
Snell's Pharmacy Shop
Practice address
1017 E Young St
Pocatello, ID 83201-5237
Phone
(208) 232-0049
Fax
(208) 232-3963
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PHARMACY SHOP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Ranae Hill
Title
Student Pharmacist
Phone
(208) 232-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1017 E Young St
Pocatello, ID 83201-5237

Mailing address

1017 E Young St
Pocatello, ID 83201-5237
Phone (208) 232-0049

Other names 1

  • Snell's Pharmacy Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Shop Inc3 organizations share this tax ID, including this one
Part of
Pharmacy Shop Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1053012708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E YOUNG ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015237",
            "telephone_number": "208-232-0049",
            "fax_number": "208-232-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E YOUNG ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015237",
            "telephone_number": "208-232-0049",
            "fax_number": "208-232-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SHOP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMACY SHOP INC",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RANAE",
        "authorized_official_title_or_position": "STUDENT PHARMACIST",
        "authorized_official_telephone_number": "208-232-0049"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snell's Pharmacy Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 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.