NPIMap

Organization Active NPI

Kootenai Health, Inc.

Doing business as Kootenai Health Pharmacy

  • Community/Retail Pharmacy
  • Hayden, ID
National Provider Identifier
1235986290
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KOOTENAI HEALTH, INC.
Doing business as
Kootenai Health Pharmacy
Practice address
8882 N Government Way Ste L
Hayden, ID 83835-9282
Phone
(208) 625-3190
Fax
(208) 625-3191
NPI assigned
May 6, 2024
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Michele Bouit
Title
Cfo
Phone
(208) 625-4001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

8882 N Government Way Ste L
Hayden, ID 83835-9282

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Other names 1

  • Kootenai Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kootenai Health Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

1919 Lincoln Way
Ste 416
Coeur D Alene, ID 83814
Phone (208) 625-4595

2100 Ironwood Ct
Ste A
Coeur D Alene, ID 83814
Phone (208) 664-3064

2236 N Merritt Creek Loop
Ste B
Coeur D Alene, ID 83814
Phone (208) 625-4100

2288 N Merritt Creek Loop
Ste 200
Coeur D Alene, ID 83814
Phone (208) 625-3800

700 W Ironwood Dr
Ste 158
Coeur D Alene, ID 83814
Phone (208) 625-5100

980 W Ironwood Dr
Ste 1
Coeur D Alene, ID 83814
Phone (208) 625-4333

8882 N Government Way
Ste L
Hayden, ID 83835
Phone (208) 625-3190

338 6th St
Lewiston, ID 83501
Phone (208) 746-3320

1300 E Mullan Ave
Ste 1200
Post Falls, ID 83854
Phone (208) 777-6054

1300 E Mullan Ave
Ste 1800
Post Falls, ID 83854
Phone (208) 625-3700

423 N Third Ave
Ste 355
Sandpoint, ID 83864
Phone (208) 263-2505

Practitioners & affiliated clinicians

Practitioners 515

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.

View all 515

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1235986290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8882 N GOVERNMENT WAY STE L",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359282",
            "telephone_number": "208-625-3190",
            "fax_number": "208-625-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTENAI HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BOUIT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-625-4001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kootenai Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kootenai Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.