Allen Pharmacy Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

322B00000X Issued in ID

Legal business name

ALLEN PHARMACY SERVICE

Practice address

23 N Bridge St
Saint Anthony, ID 83445-2110

Phone

(208) 624-3202

Fax

(208) 624-3760

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Paul A Allen

Title

President

Phone

(208) 624-3202

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174607337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834452110",
            "telephone_number": "208-624-3202",
            "fax_number": "208-624-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834452110",
            "telephone_number": "208-624-3202",
            "fax_number": "208-624-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PHARMACY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-624-3202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "322B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Pharmacy Services Inc
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• Kent A Beesley, DDS

• All providers in Saint Anthony, ID
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.