MPRX Caldwell Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MPRX CALDWELL INC

Practice address

4618 Beacon LN Ste 100
Caldwell, ID 83605-4879

Phone

(208) 204-5900

Fax

(208) 204-5901

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Devin Trone

Title

President/Pharmd

Phone

(208) 571-6434

Specialties & licenses 4

Addresses

Other names 1

• Medicap Pharmacy #8438 Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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.

• MPRX Caldwell Inc

  • Long Term Care Pharmacy
  • Caldwell, ID
  • NPI 1508545237
  NPD tax ID

Practitioners 1

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

• Benjamin Watkins, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Meridian, ID
  • NPI 1962787630
  NPD (past)

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"
        }
    ]
}

• Lisa Lee Mosley
• Brian W Moss, M.D.
• Cynthia Mott, LCPC
• Travis Reed Moulton, DO
• Mountain Telerad, PLLC
• MPRX Caldwell Inc
• Brittany Highsmith Mulrony, O.D.
• Brendan Bryan Munk, BI
• Lorelei Munoz, LMSW
• Jade D. Muntz, L.M.S.W

• Community/Retail Pharmacy in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Community/Retail Pharmacy in Idaho

• 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.