NPIMap

Organization Active NPI

MPRX Caldwell Inc

Doing business as Medicap Pharmacy #8438

  • Community/Retail Pharmacy
  • Caldwell, ID
National Provider Identifier
1144890476
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MPRX CALDWELL INC
Doing business as
Medicap Pharmacy #8438
Practice address
4618 Beacon LN Ste 100
Caldwell, ID 83605-4879
Phone
(208) 204-5900
Fax
(208) 204-5901
NPI assigned
Jun 29, 2021
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Devin TroneNPI 1972957645
Title
President/Pharmd
Phone
(208) 571-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4618 Beacon LN Ste 100
Caldwell, ID 83605-4879

Mailing address

2790 W Cherry LN Ste 100
Meridian, ID 83642-1102
Phone (208) 288-1496

Other names 1

  • Medicap Pharmacy #8438 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220616000575 ID Part B Supplier - Pharmacy 0648659938 Practice locations: Caldwell, ID

National Provider Directory

National Provider Directory
Tax ID family
Medicap Pharmacy 84382 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.

Locations

4618 Beacon Ln
Ste 100
Caldwell, ID 83605
Phone (208) 204-5900

Practitioners & affiliated clinicians

Practitioners 2

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1144890476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHERRY LN STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421102",
            "telephone_number": "208-288-1496",
            "fax_number": "208-288-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 BEACON LN STE 100",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054879",
            "telephone_number": "208-204-5900",
            "fax_number": "208-204-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPRX CALDWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "TRONE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMD",
        "authorized_official_telephone_number": "208-571-6434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy #8438",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicap Pharmacy #8438",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

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