Atkinsons Market, Inc
Organization Active NPI Community/Retail Pharmacy · Hailey, ID
NPI 1285643353 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1285643353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ATKINSONS MARKET, INC
- Practice address
- 91 E Croy St
Hailey, ID 83333-8407 - Phone
- (208) 788-9714
- Fax
- (208) 788-2966
- NPI assigned
- Aug 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Heidi Eliason, RPH
- Title
- Pharmacist
- Phone
- (208) 788-9714
Practitioners 4
-
Heidi Doreen Eliason, RPH
-
Randye Sue Simcoe, RPH
-
Katelyn Smith, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130123000216 | ID | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143473264 | Practice locations: Hailey, ID |
National Provider Directory
Locations
91 E Croy St
Hailey, ID 83333
Phone (208) 788-9714
93 E Croy St
Hailey, ID 83333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
91 E Croy St
Hailey, ID 83333-8407
Mailing address
PO Box 2700
Hailey, ID 83333-2700
Phone (208) 788-9714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304601 | Other | ID | NAPB |
| 004329000 | Medicaid | ID |
Other names
- THE DRUGSTORE
Other providers in Hailey, ID
- Arc Physical Therapy, PLLC
- Thomas E Archie Jr.
- Yolanda Arriaga Franco
- Aspire Physical Therapy
- Aspire Physical Therapy, PLLC
- Susan Ayers
- Priscilla Sharon-Georgia Bake
- Alisa Barnes
- Frank M Batcha
- Beautiful Skin LLC
All providers in Hailey, ID · Community/Retail Pharmacy in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.