Rockland Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ROCKLAND PHARMACY, INC

Practice address

524 Tyhee Ave
American Falls, ID 83211-1224

Phone

(208) 226-2411

Fax

(208) 226-5124

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Philip Anderson, PHARMDNPI 1689027179

Title

Owner Pharmacist

Phone

(208) 226-2411

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• ROCKLAND PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Tax ID family

Rockland Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rockland Pharmacy, Inc

  • Long Term Care Pharmacy
  • American Falls, ID
  • NPI 1699325415
  NPD tax ID

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

• Philip Anderson

  • Pharmacist
  • American Falls, ID
  • NPI 1689027179
  NPD Authorized official
• Brandon Michael Long, PHARMD

  • Pharmacist
  • American Falls, ID
  • NPI 1699691790
  NPD (past)
• Rod Thad Tucker, RPH

  • Pharmacist
  • American Falls, ID
  • NPI 1598784217
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1063508018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 TYHEE AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111224",
            "telephone_number": "208-226-2411",
            "fax_number": "208-226-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 TYHEE AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111224",
            "telephone_number": "208-226-2411",
            "fax_number": "208-226-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "208-226-2411",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347100001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019639",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002398900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00239900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROCKLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Power County Hospital District
• Power County Hospital District
• Josiah Brandt Price, PTA
• Corey L Richardson, LCSW
• Ridley'S Family Markets, Inc
• Rockland Pharmacy, Inc
• Spencer Garrett Seibold, D.O.
• Brock Shawver, PHARMD
• Daniel Sterner, DO
• Richard Thomas Sutton, PHYSICAL THERAPIST

• All providers in American Falls, ID
• Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.