TNT Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TNT APOTHECARY LLC

Practice address

30 Idaho Ave
Glenns Ferry, ID 83623

Phone

(208) 536-5761

NPI assigned

Oct 30, 2017

Organization subpart

Yes

Parent organization

TNT APOTHECARY, LLCAs reported in NPPES

Name

Thomas Gill Wadsworth

Title

Owner

Phone

(907) 786-6211

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• TNT Apothecary LLC

  • Community/Retail Pharmacy
  • Wendell, ID
  • NPI 1316029184
  NPPES parent name

Part of

TNT Apothecary LLC

Locations

• Glenns Ferry Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2018.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1205348356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833550487",
            "telephone_number": "208-536-5761",
            "fax_number": "208-536-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 IDAHO AVE",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "83623",
            "telephone_number": "208-536-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT APOTHECARY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TNT APOTHECARY, LLC",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-786-6211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenns Ferry Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Alice Jaramillo, PA-C
• Nichole Koonce
• Ridley'S Family Markets Inc
• Snake River Wellness PLLC
• Stonebridge Assisted Living LLC

• All providers in Glenns Ferry, ID
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.