Robert Leland Comstock Jr

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1279RP Issued in ID

Legal business name

ROBERT LELAND COMSTOCK JR

Doing business as

Ashton Community Pharmacy

Practice address

23 South 8TH Street
Suite 2
Ashton, ID 83420

Phone

(208) 652-3932

Fax

(208) 652-3470

NPI assigned

Sep 6, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bob Comstock, RPH

Title

Owner

Phone

(208) 652-3932

Specialties & licenses 2

Addresses

Other names 1

• ASHTON COMMUNITY PHARMACY Doing business as

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.

• Raymond Henry Renouf III

  • Pharmacist
  • Ashton, ID
  • NPI 1780431494
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1184727240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "834200710",
            "telephone_number": "208-652-3932",
            "fax_number": "208-652-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SOUTH 8TH STREET",
            "address_2": "SUITE 2",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "83420",
            "telephone_number": "208-652-3932",
            "fax_number": "208-652-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LELAND COMSTOCK JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "COMSTOCK",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-652-3932",
        "authorized_official_credential": "RPH"
    },
    "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": "1279RP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASHTON COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Painter, MOT
• Matthew Joseph Parry, D.O.
• Precision Chiropractic
• Bradley J Rankin, D.C.
• Raymond Henry Renouf III
• Tina Scoggins, DO
• Kathi Louise Wright, MS SLP-CCC/L

• Community/Retail Pharmacy in Ashton, ID
• Providers in Ashton, 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 Apr 1, 2014; 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.