Chemist Prime LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CHEMIST PRIME LLC

Doing business as

Mountain Care LTC

Practice address

222 N Maple Grove Rd
Boise, ID 83704-8239

Phone

(208) 287-4667

Fax

(208) 287-4668

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Shara Hayes, PHARMDNPI 1700108065

Title

Sole Member / Pharmacist in Charge

Phone

(208) 287-4667

Specialties & licenses 1

Addresses

Other names 1

• Mountain Care LTC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Shara Gayle Hayes, PHARMD

  • Pharmacist
  • Boise, ID
  • NPI 1700108065
  NPD Authorized official
• Vivian Nguyen Trinh, PHARMD

  • Pharmacist
  • Nampa, ID
  • NPI 1922777598
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1225668957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048239",
            "telephone_number": "208-287-4667",
            "fax_number": "208-287-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048239",
            "telephone_number": "208-287-4667",
            "fax_number": "208-287-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMIST PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHARA",
        "authorized_official_title_or_position": "SOLE MEMBER / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "208-287-4667",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shayes@mtncarerx.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "222 N Maple Grove Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mountain Care LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Chavez, LMT
• Gloria Joy Chavier, APRN AGPCNP-BC
• Houng K Chea, NP
• Susan Cheeseman, NP
• Savannah Morgan Cheff, DPT, PT
• Victor Kai-Ping Chen, MD, M.S.P.H.
• Janece Cleone Cheney, B.S.
• Abigail Cheng
• Stephanie Frances Cheng, MD
• Yee Kuang Cheng, MD

• Long Term Care Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Long Term Care Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.