NPIMap

Organization Active NPI

Prescription Pad LLC

  • Community/Retail Pharmacy
  • Meridian, ID
National Provider Identifier
1073133328
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRESCRIPTION PAD LLC
Practice address
885 S Vanguard Way
Meridian, ID 83642
Phone
(208) 891-2192
NPI assigned
Apr 16, 2020
Organization subpart
Yes
Parent organization
THE PRESCRIPTION PAD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Total RX, PHARMD
Title
Owner
Phone
(208) 452-7075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

885 S Vanguard Way
Meridian, ID 83642

Mailing address

PO Box 509
Fruitland, ID 83619-0509
Phone (208) 891-2192

National Provider Directory

National Provider Directory
Tax ID family
Prescription Pad LLC2 organizations share this tax ID, including this one
Part of
Prescription Pad LLC

Other organizations with this tax ID 1

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

Locations

885 S Vanguard Way
Meridian, ID 83642
Phone (208) 891-2192

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1073133328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836190509",
            "telephone_number": "208-891-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S VANGUARD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-891-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION PAD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PRESCRIPTION PAD, LLC",
        "enumeration_date": "2020-04-16",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "RX",
        "authorized_official_first_name": "TOTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-452-7075",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.