Organization Active NPI

Z Inc

Doing business as Pauls Pharmacy

  • Community/Retail Pharmacy
  • Nampa, ID
National Provider Identifier
1144392929
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1240RP Issued in ID
Legal business name
Z INC
Doing business as
Pauls Pharmacy
Practice address
407 12TH Ave Rd
Nampa, ID 83686-5016
Phone
(208) 467-3913
Fax
(208) 465-0046
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Steven Zatica
Title
President
Phone
(208) 327-3919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1240RP ID Primary

Addresses

Primary practice location

407 12TH Ave Rd
Nampa, ID 83686-5016

Mailing address

PO Box 937
Homedale, ID 83628-0937
Phone (208) 467-3913

Other identifiers 2

IdentifierTypeStateIssuer
2020819OtherPK
804063000MedicaidID

Other names 1

  • PAULS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pauls Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

407 12th Ave Rd
Nampa, ID 83686
Phone (208) 467-3913

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1144392929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "HOMEDALE",
            "state": "ID",
            "postal_code": "836280937",
            "telephone_number": "208-467-3913",
            "fax_number": "208-465-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865016",
            "telephone_number": "208-467-3913",
            "fax_number": "208-465-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "ZATICA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-327-3919"
    },
    "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": "1240RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804063000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.