Active NPI
K2Red LLC
Doing business as Buhl Drug
- Community/Retail Pharmacy
- Buhl, ID
National Provider Identifier
1083928832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 14706RP
- Legal business name
- K2RED LLC
- Doing business as
- Buhl Drug
- Practice address
- 419 Broadway Ave S
Buhl, ID 83316-1310 - Phone
- (208) 543-5353
- Fax
- (208) 543-2202
- NPI assigned
- Aug 4, 2010
- Last updated
- Sep 19, 2025
- 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
- Dan Fuchs
- Title
- Member
- Phone
- (208) 543-5353
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 14706RP | ID | Primary |
Addresses
Primary practice location
419 Broadway Ave S
Buhl, ID 83316-1310
Mailing address
419 Broadway Ave S
Buhl, ID 83316
Phone (208) 543-5353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083928832 | Medicaid | ID | |
| 2126140 | Other | PK |
Other names 1
- Buhl Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110112000384 | ID | DME Supplier - Pharmacy | 1557480464 | Practice locations: Buhl, ID |
| O20140325001579 | ID | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557480464 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Twin Falls, ID; Wendell, ID; Jerome, ID; Buhl, ID |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Home IV Services & Medical Supply
- Parenteral & Enteral Nutrition Supplies (DME)
- Twin Falls, ID
- NPI 1033203146
1557480464
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dick's Pharmacy
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1295832574
O20140325001579
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2216730 | Buhl Drug | Certificate of waiver | Mar 15, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Buhl Drug | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Medsync Pharmacy
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Home IV Services & Medical Supply
- Parenteral & Enteral Nutrition Supplies (DME)
- Twin Falls, ID
- NPI 1033203146
-
- Pharmacist
- Boise, ID
- NPI 1427883594
-
- Community/Retail Pharmacy
- Wendell, ID
- NPI 1508420373
-
- Pharmacy
- Boise, ID
- NPI 1538534078
Locations
419 Broadway Ave S
Buhl, ID 83316
Phone (208) 543-5353
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
- Buhl, ID
- NPI 1205261591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1083928832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 BROADWAY AVE S",
"city": "BUHL",
"state": "ID",
"postal_code": "83316",
"telephone_number": "208-543-5353",
"fax_number": "208-543-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 BROADWAY AVE S",
"city": "BUHL",
"state": "ID",
"postal_code": "833161310",
"telephone_number": "208-543-5353",
"fax_number": "208-543-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K2RED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-04",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "FUCHS",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "208-543-5353"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ID",
"license": "14706RP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083928832",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2126140",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Buhl Drug",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Buhl, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.